Mr. Todd Douglas Bottenfield
Physical Therapist - Orthopedic
2961 Placida Rd Ste 11
Englewood
, Florida 34224-8525
Mr. Todd Douglas Bottenfield
Physical Therapist - Orthopedic
2961 Placida Rd Ste 11
Englewood
, Florida 34224-8525
(941) 697-1688
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About
Features
Specialties
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Mr. Todd Douglas Bottenfield
- Po Box 1174
- Englewood, FL
- Zip : 34295-1174
- Fax : (941) 697-1688
- Phone : (941) 697-7737
Second Address
- Mr. Todd Douglas Bottenfield
- 2961 Placida Rd Ste 11
- Englewood, FL
- Zip : 34224-8525
- Fax : (941) 697-1688
- Phone : (941) 697-7737
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Is Mr. Todd Douglas Bottenfield a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic | PT11482 | FL |
National Provider Identifier
| NPI | 1053314914 |
|---|---|
| Provider Name | Mr. Todd Douglas Bottenfield |
| First Address | Englewood, FL 34295-1174 |
| Second Address | Englewood, FL 34224-8525 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2005 |
| Last Update Date | 20/01/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| Y043T | BC BS PROVIDER NUMBER (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.