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

Mr. Andre Botha, RPT, DIPMDT

Individual provider Physical Therapist · NPI 1396789921

Mr. Andre Botha, RPT, DIPMDT is a Physical Therapist in Private Practice in Durango, Colorado. Qualified in 1997, 29 years ago. Accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
29
Licensed in
CO
In the registry since
2006
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Practice location Address checks out

1600 Florida Rd
Durango, CO 81301-6836
Phone: (970) 385-6969
Fax: (970) 247-7810
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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 4877 (CO)

Record details

NPI number1396789921
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT , DIPMDT
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESNovember 23, 2020
Certification dateNovember 23, 2020
Mailing address130 Rock Point Dr, Ste C, Durango, CO 81301-7728

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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