Active NPI
Christopher Joseph Bores, MPT
- Physical Therapist
- Marco Island, FL
National Provider Identifier
1104903384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT21538
- Practice address
- 291 S Collier Blvd
Unit 105
Marco Island, FL 34145-4829 - Phone
- (239) 642-3948
- Fax
- (239) 642-4243
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT21538 | FL | Primary |
Addresses
Primary practice location
291 S Collier Blvd
Unit 105
Marco Island, FL 34145-4829
Mailing address
291 S Collier Blvd
Unit 105
Marco Island, FL 34145-4829
Phone (239) 642-3948
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
291 S Collier Blvd
Unit 105
Marco Island, FL 34145-4829
Phone (239) 642-3948
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Step Ahead Physical Therapy P.a. | Physical Therapist | Current | Accepting new patients |
Locations
291 S Collier Blvd
Unit 105
Marco Island, FL 34145
Phone (239) 642-3948
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.
-
- Physical Therapist
- Marco Island, FL
- NPI 1720163306
FL, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497571200000",
"number": "1104903384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 S COLLIER BLVD",
"address_2": "UNIT 105",
"city": "MARCO ISLAND",
"state": "FL",
"postal_code": "341454829",
"telephone_number": "239-642-3948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 S COLLIER BLVD",
"address_2": "UNIT 105",
"city": "MARCO ISLAND",
"state": "FL",
"postal_code": "341454829",
"telephone_number": "239-642-3948",
"fax_number": "239-642-4243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORES",
"first_name": "CHRISTOPHER",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2017-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT21538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marco Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2017; 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.