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

Dr. Moheb S Botroth, DPT

Individual provider Physical Therapist · NPI 1821418054

Dr. Moheb S Botroth, DPT is a Physical Therapist in Private Practice in Summit, New Jersey. Qualified in 2007, 19 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
19
Licensed in
NJ
In the registry since
2014
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

71 Baltusrol Rd
Summit, NJ 07901-3306
Phone: (347) 459-6778
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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 40QA01471900 (NJ)

Record details

NPI number1821418054
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedApril 28, 2014
Last updated in NPPESMarch 17, 2020
Certification dateMarch 17, 2020
Mailing address71 Baltusrol Rd, Summit, NJ 07901-3306

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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