Individual provider Active NPI

Marta Borkova, DPT

  • Physical Therapist
  • Spokane, WA
National Provider Identifier
1104541119
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60529369 Issued in WA
Practice address
2772 S Grand Blvd
Spokane, WA 99203-2526
Phone
(509) 536-0653
NPI assigned
Oct 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 60529369 WA Primary

Addresses

Primary practice location

2772 S Grand Blvd
Spokane, WA 99203-2526

Mailing address

2772 S Grand Blvd
Spokane, WA 99203-2526
Phone (509) 456-0888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230203000175 WA Practitioner - Physical Therapist in Private Practice 1658743539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Royter Physical Therapy IncGroup PAC ID 0345249447, 8 clinicians

Practice addresses (Care Compare)

2772 S Grand Blvd
Spokane, WA 99203-2526
Phone (509) 456-0888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60529369WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Royter Physical Therapy Inc Physical Therapist CurrentSince Oct 15, 2022 Accepting new patients

Locations

2772 S Grand Blvd
Spokane, WA 99203
Phone (509) 456-0888

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1104541119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2772 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032526",
            "telephone_number": "509-456-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2772 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032526",
            "telephone_number": "509-536-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORKOVA",
        "first_name": "MARTA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60529369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.