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

Pratiksha Bothara

Individual provider Physical Therapist · NPI 1497235402

Pratiksha Bothara is a Physical Therapist in Private Practice in Bear, Delaware. Qualified in 2013, 13 years ago. Practices with Ivyrehab Delaware LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Delaware and Ohio.

Years since qualifying
13
Licensed in
DE, OH
In the registry since
2018
Specialties on file
2

Practice location Address checks out

100 Becks Woods Dr
Bear, DE 19701-3835
Phone: (302) 392-3400
Fax: (302) 392-3401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (DE)
Physical Therapist Taxonomy 225100000X · Licence PT016477 (OH)

Record details

NPI number1497235402
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 19, 2018
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Ivyrehab Delaware Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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