Individual provider Active NPI

Linda Boerger, PTA

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Uxbridge, MA
National Provider Identifier
1073157137
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
475 Issued in MA
Practice address
60 Quaker Hwy
Uxbridge, MA 01569-1628
Phone
(508) 278-7810
Fax
(508) 278-7855
NPI assigned
Nov 1, 2019
Last updated
Nov 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 475 MA Primary

Addresses

Primary practice location

60 Quaker Hwy
Uxbridge, MA 01569-1628

Mailing address

60 Quaker Hwy
Uxbridge, MA 01569-1628
Phone (508) 278-7810

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 71.11.0.58

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
475MAMDSports Medicine (Physical Medicine & Rehabilitation) Physician

NPI Registry JSON

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1073157137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 QUAKER HWY",
            "city": "UXBRIDGE",
            "state": "MA",
            "postal_code": "015691628",
            "telephone_number": "508-278-7810",
            "fax_number": "508-278-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 QUAKER HWY",
            "city": "UXBRIDGE",
            "state": "MA",
            "postal_code": "015691628",
            "telephone_number": "508-278-7810",
            "fax_number": "508-278-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOERGER",
        "first_name": "LINDA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "MA",
            "license": "475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "71.11.0.58",
            "affiliation": "N",
            "address_1": "60 Quaker Hwy",
            "city": "Uxbridge",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015691628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Uxbridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.