Mr. Andre Botha, RPT, DIPMDT
Mr. Andre Botha is a Physical Therapist provider (Physical Therapist) practicing in Durango, CO, registered in the NPPES registry with NPI 1396789921 since 2006. Practices at Durango Sports Club, Inc. (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1396789921 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mr. Andre Botha |
| Credential | RPT, DIPMDT |
| Sex | Male |
| Practice address | 1600 FLORIDA RD, Durango, CO, 81301 |
| Phone | 9703856969 |
| Fax | 9702477810 |
| Enumeration date | 2006-06-15 |
| Last updated in NPPES | 2020-11-23 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Primary | 4877 | CO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 375292YSK3 | Other | CO | MEDICARE PTAN |
| 00D021785-3 | Medicaid | HI | — |
| 92882056 | Medicaid | CO | — |
Copy-ready billing details
Provider: Andre Botha, RPT, DIPMDT NPI: 1396789921 Taxonomy: 225100000X (Physical Therapist) Address: 1600 FLORIDA RD, Durango, CO, 81301
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1386728285 | Durango Sports Club, Inc. | Organization | Physical Therapist | Durango, CO |
| 1619022043 | Dean Walker | Individual | Physical Therapist | Durango, CO |
| 1518013697 | Sherry Suenram | Individual | Physical Therapist | Durango, CO |
| 1760538862 | Janet Wells | Individual | Physical Therapist | Durango, CO |
| 1750799573 | Julie Ninis | Individual | Massage Therapist | Durango, CO |
| 1326403635 | Kim Hobby | Individual | Physical Therapist | Durango, CO |
| 1962014548 | Emily Wheeler | Individual | Marriage & Family Therapist | Durango, CO |
Verify this record
Cross-check NPI 1396789921 against the authoritative CMS record: view Mr. Andre Botha on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-11-23.