Matthew James Borgerding

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1619 S Kentucky St Ste F600
Amarillo, TX 79102-2215

Phone

(806) 373-2200

NPI assigned

Apr 13, 2021

Sex

Male

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

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Johnson Athletic Advantage

  • Physical Therapy Clinic/Center
  • Allen, TX
  • NPI 1194089219
  Medicare reassignment NPD
• Rider Athletic Advantage

  • Physical Therapy Clinic/Center
  • Allen, TX
  • NPI 1538498845
  NPD (past)

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1144800046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 BELL ST",
            "address_2": "STE 1400",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791097028",
            "telephone_number": "806-355-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 S KENTUCKY ST STE F600",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791022215",
            "telephone_number": "806-373-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGERDING",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Nicole Borden, FNP-C
• Rebecca J Borden, LAT, ATC
• Taylor Borden, LMSW
• William Borden, LMSW
• Joe Bill Boren, PHD, CEP-C
• Ariana Borunda, PHARMD
• Cecilia Borunda
• Eric Bose
• Rachel Brook Botkin, RN, FNP-C
• Imene Boumaza, M.D

• Physical Therapist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.