Individual provider Active NPI

Justin J Bordell, MPT

  • Physical Therapist
  • Harrisburg, PA
National Provider Identifier
1154370625
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013819L Issued in PA
Practice address
4337 Union Deposit Rd
Harrisburg, PA 17111-2923
Phone
(717) 971-5940
NPI assigned
May 10, 2006
Last updated
May 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT013819L PA Primary

Addresses

Primary practice location

4337 Union Deposit Rd
Harrisburg, PA 17111-2923

Mailing address

4750 Lindle Rd Ste 100
Harrisburg, PA 17111-2428
Phone (717) 803-3342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050510000236 PA Practitioner - Physical Therapist in Private Practice 3476593476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4337 Union Deposit Rd
Harrisburg, PA 17111-2923
Phone (717) 971-5940

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT013819LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LHM Physical Therapy Institute LLC Physical Therapist CurrentSince May 7, 2025 Accepting new patients
Pinnacle Health Medical Services CurrentSince May 23, 2020 Accepting new patients
Pinnacle Health Medical Services CurrentSince May 23, 2020 Accepting new patients
LHM Physical Therapy Institute LLC Physical Therapist CurrentSince May 7, 2025 Accepting new patients
LHM Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Aspire Health Concepts, Inc PastSince May 4, 2025 Accepting new patients
Aspire Health Concepts Inc PastSince May 4, 2025 Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

4337 Union Deposit Rd
Harrisburg, PA 17111
Phone (717) 803-3344

4750 Lindle Rd
Ste 100
Harrisburg, PA 17111
Phone (717) 803-3342

820 Sir Thomas Ct
Harrisburg, PA 17109
Phone (717) 724-4870

558 Shrewsbury Commons Ave
Shrewsbury, PA 17361
Phone (717) 803-3344

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15936/brand/8/csg/1/fhir/r4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1154370625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 LINDLE RD STE 100",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112428",
            "telephone_number": "717-803-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4337 UNION DEPOSIT RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112923",
            "telephone_number": "717-971-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDELL",
        "first_name": "JUSTIN",
        "middle_name": "J",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT013819L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

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

Verify at the official NPI Registry.