Organization Active NPI

Borja Physical Therapy

  • Physical Therapy Clinic/Center
  • Sterling Heights, MI
National Provider Identifier
1043603483
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501016572 Issued in MI
Legal business name
BORJA PHYSICAL THERAPY
Practice address
44656 Mound Rd
Sterling Heights, MI 48314-1322
Phone
(586) 884-4565
Fax
(888) 996-2534
NPI assigned
Mar 10, 2015
Last updated
Sep 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Alex Borja, DPTNPI 1841683547
Title
Owner, Physical Therapist
Phone
(586) 884-4565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5501016572 MI Primary

Addresses

Primary practice location

44656 Mound Rd
Sterling Heights, MI 48314-1322

Mailing address

44656 Mound Rd
Sterling Heights, MI 48314-1322
Phone (586) 884-4565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150508000455 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9739408022 Receives reassigned benefits from 1 practitioner
Practice locations: Sterling Heights, MI

National Provider Directory

National Provider Directory

Locations

44656 Mound Rd
Sterling Heights, MI 48314
Phone (586) 884-4565

8243 Hall Rd
Ste 201
Utica, MI 48317

8243 Hall Rd
Ste 202
Utica, MI 48317
Phone (586) 726-1960

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1043603483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44656 MOUND RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141322",
            "telephone_number": "586-884-4565",
            "fax_number": "888-996-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44656 MOUND RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141322",
            "telephone_number": "586-884-4565",
            "fax_number": "888-996-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORJA PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "BORJA",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "586-884-4565",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501016572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.