NPIMap

Organization Active NPI

Abc Pediatric Physical Therapy, LTD.

  • Physical Therapy Clinic/Center
  • Horace, ND
National Provider Identifier
1114074234
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ABC PEDIATRIC PHYSICAL THERAPY, LTD.
Practice address
7119 Maple LN
Horace, ND 58047-4714
Phone
(701) 281-1864
Fax
(701) 281-1924
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Brian Allen Borchardt, PTNPI 1053468223
Title
President-Owner
Phone
(701) 281-1864

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 ND Primary

Addresses

Primary practice location

7119 Maple LN
Horace, ND 58047-4714

Mailing address

7119 Maple LN
Horace, ND 58047-4714
Phone (701) 281-1864

Other identifiers 4

IdentifierTypeStateIssuer
161391043815OtherCIGNA-PREFERRED ONE
5952001OtherNDBLUE CROSS BLUE SHIELD
54528MedicaidND
107037OtherHEALTH PARTNERS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114074234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7119 MAPLE LN",
            "city": "HORACE",
            "state": "ND",
            "postal_code": "580474714",
            "telephone_number": "701-281-1864",
            "fax_number": "701-281-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7119 MAPLE LN",
            "city": "HORACE",
            "state": "ND",
            "postal_code": "580474714",
            "telephone_number": "701-281-1864",
            "fax_number": "701-281-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC PEDIATRIC PHYSICAL THERAPY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BORCHARDT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "701-281-1864",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA-PREFERRED ONE",
            "identifier": "161391043815",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5952001",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54528",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "107037",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Horace, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.