Jimmy S Bottoms Jr, PT is a
Physical Therapist based in Boutiful, Utah. Jimmy S Bottoms Jr is licensed to practice in Utah (license number 59430442401) and his current practice location is
523 N Main Street, Boutiful, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 951-1607.
NPI number for Jimmy S Bottoms Jr is 1841362860 and his current mailing address is 1437 W 2150 So, Syracuse, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841362860.
Healthcare Provider's Profile
| Full Name | Jimmy S Bottoms Jr |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 523 N Main Street, Boutiful, Utah |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841362860
- Provider Enumeration Date: 11/14/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Jimmy S Bottoms Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1841362860 | NPI | - | NPPES |
| D6682 | Medicaid | UT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 59430442401 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jimmy S Bottoms Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jimmy S Bottoms Jr, PT 1437 W 2150 So, Syracuse, UT 84075 Ph: (801) 773-2987 | Jimmy S Bottoms Jr, PT 523 N Main Street, Boutiful, UT 84010 Ph: (801) 951-1607 |
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