Jill Kerry Bordokoff, MSOT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

10933 Issued in CA

Practice address

7907 Ostrow St Ste D
San Diego, CA 92111-3635

Phone

(858) 565-6910

NPI assigned

Jan 15, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Excel Speech Therapy Center

  • Hearing and Speech Clinic/Center
  • San Diego, CA
  • NPI 1144664285
  NPD (past)
• PT in Motion

  • Pediatric Occupational Therapist
  • San Diego, CA
  • NPI 1699884221

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1124359146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7907 OSTROW ST STE D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113635",
            "telephone_number": "858-565-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7907 OSTROW ST STE D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113635",
            "telephone_number": "858-565-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDOKOFF",
        "first_name": "JILL",
        "middle_name": "KERRY",
        "name_prefix": "Ms.",
        "credential": "MSOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "10933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariana E Bordas, LMFT
• Erlene Kay Borden, M.A.
• Adrienne Borders, PHD
• Michael D Borders, P.T.
• Talya Bordin-Wosk
• Aja Renee Bordonaro
• Jessica Rene Bordonaro
• Sophie Judith Bordson, PHARM.D.
• Ashleigh E Bordwell, PT
• Caitlin Boreliz

• Pediatric Occupational Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.