Active NPI
David A Borgman, MBA, MS, PT
- Physical Therapist
- Maumee, OH
National Provider Identifier
1013258912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT004184
- Practice address
- 1560 Henthorne Dr
Maumee, OH 43537-1371 - Phone
- (419) 866-5196
- Fax
- (419) 866-5663
- NPI assigned
- Mar 4, 2013
- Last updated
- Jun 5, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT004184 | OH | Primary |
Addresses
Primary practice location
1560 Henthorne Dr
Maumee, OH 43537-1371
Mailing address
1560 Henthorne Dr
Maumee, OH 43537-1371
Phone (419) 866-5196
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609899061 | Other | OH | COMPANY NPI |
| 0392980 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dborgman@progsolutions.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT004184 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairwood Chiropractic & Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Progressive Therapy Alternatives, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Progressive Therapy
- Physical Therapist
- Maumee, OH
- NPI 1609899061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1013258912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 HENTHORNE DR",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435371371",
"telephone_number": "419-866-5196",
"fax_number": "419-866-5663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 HENTHORNE DR",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435371371",
"telephone_number": "419-866-5196",
"fax_number": "419-866-5663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORGMAN",
"first_name": "DAVID",
"middle_name": "A",
"credential": "MBA, MS, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-04",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT004184",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPANY NPI",
"identifier": "1609899061",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0392980",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dborgman@progsolutions.com",
"affiliation": "N",
"endpointDescription": "company email address",
"address_1": "1560 Henthorne Dr",
"city": "Maumee",
"state": "OH",
"country_code": "US",
"postal_code": "435371371",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.