Individual provider Active NPI

David Leonard Borst, OTR/L, MS

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1104468198
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
024390-01 Issued in NY
Practice address
2255 Coleman St
Brooklyn, NY 11234-5126
Phone
(718) 434-5100
Fax
(718) 256-1245
NPI assigned
Oct 11, 2019
Last updated
Nov 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00829100 NJ
Occupational Therapist 225X00000X 024390-01 NY Primary

Addresses

Primary practice location

2255 Coleman St
Brooklyn, NY 11234-5126

Mailing address

151 Apawamis Ave
Rye, NY 10580-3601
Phone (201) 394-9936

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
024390-01NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Americare, Inc. PastSince Nov 13, 2022 Accepting new patients
Prime Rehabilitation Services, Inc. Occupational Therapist PastSince Jan 31, 2021 Accepting new patients
Americare, Inc. PastSince Nov 13, 2022 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1104468198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 APAWAMIS AVE",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105803601",
            "telephone_number": "201-394-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 COLEMAN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345126",
            "telephone_number": "718-434-5100",
            "fax_number": "718-256-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORST",
        "first_name": "DAVID",
        "middle_name": "LEONARD",
        "credential": "OTR/L, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00829100",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "024390-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.