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

Percy Botchway, ATC

Individual provider Sports Medicine (Emergency Medicine) Physician · NPI 1942856521

Percy Botchway, ATC is a Sports Medicine (Emergency Medicine) Physician in Shoreview, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2019
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

956 Carmel Ct
Shoreview, MN 55126-5882
Phone: (651) 890-9103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PS0010X · Licence 2681 (MN)

Record details

NPI number1942856521
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedAugust 10, 2019
Last updated in NPPESAugust 10, 2019
Mailing address956 Carmel Ct, Shoreview, MN 55126-5882