MS. ROXANNE C BOTTUM (NPI# 1750355202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750355202 |
| Entity Type | Individual |
| Full Name | MS. ROXANNE C BOTTUM |
| Credential | O.T. |
| Practice Address |
4600 4th St N St Petersburg FL 33703-3802 |
| Mailing Address |
430 Morton Plant St Suite 206 Clearwater FL 33756-3395 |
| Practice Telephone | 7275275272 |
| Practice Fax Number | 7275227412 |
| Mailing Telephone | 7272985230 |
| Mailing Fax Number | 7272985205 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
OT2514 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 888952000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 430 Morton Plant St, Suite 206, Clearwater, FL 337563395 | 7272985230 | 7272985205 |
| Street Address |
4600 4TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33703-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912989625 | Glenn S Fuoco | Physical Medicine & Rehabilitation | 4600 4th St N, St Petersburg, FL 33703-3802 | 2005-11-17 |
| 1013540913 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 4600 4th St N, St Petersburg, FL 33703-3802 | 2020-02-19 |
| 1275164501 | Musculoskeletal Institute Chartered | Clinic/Center | 4600 4th St N, St Petersburg, FL 33703-3802 | 2020-01-27 |
| 1538701131 | Erin Melissa Gordy | Physician Assistant | 4600 4th St N, St Petersburg, FL 33703-3802 | 2019-10-15 |
| 1184282907 | Mark Daicoff | Physician Assistant | 4600 4th St N, St Petersburg, FL 33703-3802 | 2019-06-05 |
| 1790283331 | William Travis Hupp | Physician Assistant | 4600 4th St N, St Petersburg, FL 33703 | 2018-01-29 |
| 1790201507 | Weston Thomas | Orthopaedic Surgery | 4600 4th St N, St Petersburg, FL 33703-3802 | 2017-08-15 |
| 1275056244 | Anthony Fittipaldi | Physical Therapist | 4600 4th St N, St Petersburg, FL 33703-3802 | 2017-07-21 |
| 1639691991 | Clare Harvey | Specialist/Technologist | 4600 4th St N, St Petersburg, FL 33703-3802 | 2017-07-08 |
| 1255781696 | Jocelyn Doina | Specialist/Technologist | 4600 4th St N, St Petersburg, FL 33703-3802 | 2016-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150276 | Stephanie Gayle Barnes | Rehabilitation Practitioner | 610 47th Ave N, St Petersburg, FL 33703 | 2020-09-25 |
| 1366945099 | St. Petersburg Free Clinic | General Practice | 5501 - 4th Street North, St. Petersburg, FL 33703 | 2018-03-08 |
| 1306381363 | Dominique Timothee | Behavioral Analyst | 4301 16th Street N, St Petersburg, FL 33703 | 2016-12-30 |
| 1962849455 | Bobbie Vaughn | Behavioral Analyst | 880 6th St. South, St. Petersburg, FL 33703 | 2013-05-24 |
| 1255672796 | Mary Paige Bourbeau | Nurse Practitioner | 5500 9th St N., St Petersburg, FL 33703 | 2013-03-07 |
| 1437435237 | Lynn Bonner-nelson | Counselor | 6161 Dr. Mlk Jr Street N. #204, Saint Petersburg, FL 33703 | 2011-10-25 |
| 1245545953 | Patricia Reynolds | Speech-Language Pathologist | 3950 3rd Street North, Suite D, Community Rehab Associates, St. Petersburg, Fl, FL 33703 | 2010-08-18 |
| 1326367145 | Sigurd T Rutkis | Occupational Therapist | 3835 1st Street Northeast, St. Petersburg, FL 33703 | 2010-05-18 |
| 1922338136 | Christy Carr | Mechanotherapist | 5560 Kelly Dr N, Saint Petersburg, FL 33703 | 2010-01-11 |
| 1871730317 | Ronald H Copenhaver Dmd Pa | Dentist | 4338 1st Street N, Suite C, St. Petersburg, FL 33703 | 2009-01-20 |
| Find all providers in zip 33703 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992834303 | Irma H M Witbreuk | Occupational Therapist | 4600 4th St N # M, St Petersburg, FL 33703-3802 | 2007-03-02 |
| 1386618346 | Adrienne Forkois | Occupational Therapist | 4600 4th St N, St Petersburg, FL 33703-3802 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851902514 | The Gulfside Group, LLC | Occupational Therapist | 711 Crystal Lake Rd, Lutz, FL 33548-6431 | 2020-08-14 |
| 1730726472 | Peter James Wise | Occupational Therapist | 11286 Boyette Rd, Suite 101, Riverview, FL 33569 | 2019-12-02 |
| 1326689209 | Healing Hands Therapy Group | Occupational Therapist | 1699 Sw 27th Ave Fl 3, Miami, FL 33145-2074 | 2019-10-02 |
| 1093222820 | Janna Randolph | Occupational Therapist | 4551 N Davis Hwy Ste C, Pensacola, FL 32503-2732 | 2018-01-02 |
| 1154843787 | Karen Lopez Jimenez | Occupational Therapist | 100 Waymont Ct Ste 120, Lake Mary, FL 32746-3412 | 2017-07-14 |
| 1255860433 | Life In Motion Physical & Hand Therapy | Occupational Therapist | 9021 Oakhurst Rd Ste A, Seminole, FL 33776-2156 | 2017-06-09 |
| 1902343775 | Darleen Walker | Occupational Therapist | 7243 Della Dr., Orlando, FL 32819 | 2017-01-31 |
| 1992156046 | Rachelle Delucas | Occupational Therapist | 7800 Sw 103rd Ave, Gainesville, FL 32608-6208 | 2016-06-29 |
| 1346658481 | Andrew Craig | Occupational Therapist | 4420 Sheridan St Ste A, Hollywood, FL 33021-3552 | 2014-07-31 |
| 1194152439 | Life In Motion Physical & Hand Therapy | Occupational Therapist | 9125 Us Highway 19 N, Pinellas Park, FL 33782-5406 | 2013-10-01 |
| Find all providers with the same taxonomy | ||||
| City | ST PETERSBURG |
| Zip Code | 33703 |
Please comment or provide details below to improve the information on MS. ROXANNE C BOTTUM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.