David John Borgeson, MPT, MS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT24068 Issued in CA

Practice address

901 Sir Francis Drake Blvd
Suite B
Kentfield, CA 94904-1502

Phone

(415) 256-9990

Fax

(415) 256-9991

NPI assigned

Sep 20, 2012

Last updated

Jan 7, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Mindful Physical Therapy

  • Physical Therapy Clinic/Center
  • Kentfield, CA
  • NPI 1780935411
  Authorized official Same address or phone
• Ross Valley Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Kentfield, CA
  • NPI 1891325403
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1013268754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SIR FRANCIS DRAKE BLVD",
            "address_2": "SUITE B",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041502",
            "telephone_number": "415-256-9990",
            "fax_number": "415-256-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SIR FRANCIS DRAKE BLVD",
            "address_2": "SUITE B",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041502",
            "telephone_number": "415-256-9990",
            "fax_number": "415-256-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGESON",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MPT, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-20",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Benoit
• Myra Gueco Bernecker, PH.D.
• Alexander Geoffrey Bloom, LCSW
• Jillian A Boeri, LMFT
• Linda Boghrati, MFT
• Linda Christine Boyd-Cornell, L.M.F.T.
• Cynthia Bradley, DOULA
• Pierre Brennan, MM, MT-BC, NMT, BCBA
• Brooke P Jackson Psychologist
• Eileen Cohune Brown, LMFT

• Physical Therapist in Kentfield, CA
• Providers in Kentfield, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.