Moheb S. Botroth, D.P.T.

Physical Therapist · Summit, NJ

Individual Active NPI

NPI number 1821418054

Practice location

71 Baltusrol Rd
Summit, NJ 07901-3306
Phone
(347) 459-6778

Open in Google Maps

NPI record

NPI
1821418054
Entity type
Individual (Type 1)
Enumeration date
April 28, 2014
Last updated
March 17, 2020
Certified
March 17, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 40QA01471900 NJ

About Dr. Botroth

Moheb S. Botroth, D.P.T. is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 71 Baltusrol Rd, Summit, NJ 07901-3306. The NPI number 1821418054 was assigned on April 28, 2014 and the record was last updated on March 17, 2020.

Dr. Botroth lists a license in the registry: #40QA01471900 (NJ) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Moheb S. Botroth, D.P.T.?

The NPI number is 1821418054.

What is the phone number of Dr. Botroth?

The phone number listed for the practice location is (347) 459-6778.

Where is Dr. Botroth located?

71 Baltusrol Rd, Summit, NJ 07901-3306.

What is the taxonomy code for Dr. Botroth?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physical Therapist providers in Summit

All Physical Therapist providers in Summit, NJ →