Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Carl Gabriel Botero, PT, DPT

Individual provider Physical Therapist · NPI 1205564473

Dr. Carl Gabriel Botero, PT, DPT is a Physical Therapist in Private Practice in Mount Pleasant, South Carolina. Qualified in 2022, 4 years ago. Practices with Elite Healthcare Physical Medicine LLC, a 6-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
4
Licensed in
SC
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1300 Hospital Dr Ste 220
Mount Pleasant, SC 29464-3208
Phone: (843) 936-6238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11481 (SC)

Record details

NPI number1205564473
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedAugust 15, 2022
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Elite Healthcare Physical Medicine Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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