Ole Christian Borgesen, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT27048 Issued in CA

Practice address

165 Rowland Way
Suite 101
Novato, CA 94945-5038

Phone

(415) 898-1311

Fax

(415) 897-0741

NPI assigned

Jun 6, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, ID2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

ZRJ IncGroup PAC ID 6507858172, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• ZRJ Inc

  dba Idaho Spine & Sports Physical Therapy

  • Physical Therapist
  • Boise, ID
  • NPI 1639365323

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Sport & Spine Therapy of Marin Inc

  • Orthopedic Physical Therapist
  • Novato, CA
  • NPI 1174578199
  Medicare reassignment NPD
• Novato Back Care and Sports Physical Therapy

  • Orthopedic Physical Therapist
  • Novato, CA
  • NPI 1093945230
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1043413230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PIPER CT",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949472985",
            "telephone_number": "415-924-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 ROWLAND WAY",
            "address_2": "SUITE 101",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455038",
            "telephone_number": "415-898-1311",
            "fax_number": "415-897-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGESEN",
        "first_name": "OLE",
        "middle_name": "CHRISTIAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT27048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PT27048",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blessed at Home Care Agency LLC
• Richard Bodony, MD
• Raymond M Bonneau, MD
• Michelle Bonsignore, LMFT
• Charles W Boomer
• Jenny Eva Boris
• Borsting Laboratories, Inc
• Chris Bossone
• Daniel Jacob Boudagian
• Edmund Bourne, PH.D.

• Orthopedic Physical Therapist in Novato, CA
• Providers in Novato, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.