David John Borgeson, MPT, MS
Individual provider Active NPI Physical Therapist · Kentfield, CA
NPI 1013268754 · NPPES record last updated Jan 7, 2013
Key facts
- NPI
- 1013268754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT24068 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT24068 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ross Valley Physical Therapy, Inc. | Current |
Accepting new patients |
Locations
901 Sir Francis Drake Blvd
Ste B
Kentfield, CA 94904
Phone (415) 237-4448
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT24068 | CA | Yes |
Addresses
Primary practice location
901 Sir Francis Drake Blvd
Suite B
Kentfield, CA 94904-1502
Mailing address
901 Sir Francis Drake Blvd
Suite B
Kentfield, CA 94904-1502
Phone (415) 256-9990
Other providers in Kentfield, CA
- Jenny Benoit
- Myra Gueco Bernecker
- Alexander Geoffrey Bloom
- Jillian A Boeri
- Linda Boghrati
- Linda Christine Boyd-Cornell
- Cynthia Bradley
- Pierre Brennan
- Brooke P Jackson Psychologist
- Eileen Cohune Brown
All providers in Kentfield, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.