Active NPI
Dara Melissa Bordman, PT, DPT
- Physical Therapist
- Goshen, NY
National Provider Identifier
1124782495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 055456
- Practice address
- 2 Glenmere Cove Rd
Goshen, NY 10924-6059 - Phone
- (845) 291-4740
- NPI assigned
- Oct 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 055456 | NY | Primary |
| Physical Therapy Assistant | 225200000X | 013166 | NY |
Addresses
Primary practice location
2 Glenmere Cove Rd
Goshen, NY 10924-6059
Mailing address
5 Melissa CT
Warwick, NY 10990-1051
Phone (845) 699-7454
Other practice location 1
20 Walnut St
Montgomery, NY 12549-2260
Phone (845) 457-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260116001055 | NY | Practitioner - Physical Therapist in Private Practice | 9931686318 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Montefiore Medical Center
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
94 Clowes Ave
Goshen, NY 10924-1923
Phone (845) 615-2222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055456 | NY | MD | Physical Therapist |
| 013166 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
Organizations & group practices 17
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.
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Physical Therapist
- New York, NY
- NPI 1124780630
-
- Occupational Therapist
- Tuckahoe, NY
- NPI 1154005486
-
- Dentist
- Bronx, NY
- NPI 1275710519
-
- Physical Therapist
- Fishkill, NY
- NPI 1356012454
-
- Physical Therapist
- Tarrytown, NY
- NPI 1366113466
-
- Home Health Agency
- Bronx, NY
- NPI 1457406621
-
- Physical Therapist
- New York, NY
- NPI 1477224566
-
- Physical Therapist
- New Windsor, NY
- NPI 1528803285
-
- Physical Therapist
- Orangeburg, NY
- NPI 1598436693
-
- Community/Retail Pharmacy
- Yonkers, NY
- NPI 1659156255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1124782495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MELISSA CT",
"city": "WARWICK",
"state": "NY",
"postal_code": "109901051",
"telephone_number": "845-699-7454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 GLENMERE COVE RD",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109246059",
"telephone_number": "845-291-4740"
}
],
"practiceLocations": [
{
"address_1": "20 Walnut St",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "NY",
"postal_code": "125492260",
"country_code": "US",
"telephone_number": "845-457-5555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORDMAN",
"first_name": "DARA",
"middle_name": "MELISSA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-23",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "055456",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "013166",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.