Active NPI
Janice Kay Bordon
- Developmental Therapist
- Sanford, FL
National Provider Identifier
1164834743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 126 Pinecrest Dr
Sanford, FL 32773-5446 - Phone
- (407) 430-6273
- NPI assigned
- May 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
126 Pinecrest Dr
Sanford, FL 32773-5446
Mailing address
126 Pinecrest Dr
Sanford, FL 32773-5446
Phone (407) 430-6273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ORI#FL922013Z | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401321600000",
"number": "1164834743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 PINECREST DR",
"city": "SANFORD",
"state": "FL",
"postal_code": "327735446",
"telephone_number": "407-430-6273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 PINECREST DR",
"city": "SANFORD",
"state": "FL",
"postal_code": "327735446",
"telephone_number": "407-430-6273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORDON",
"first_name": "JANICE",
"middle_name": "KAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-29",
"last_updated": "2014-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ORI#FL922013Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sanford, FL
- Shikina Ninine Bodley, M.A. CCC SLP
- Kira Rio Boguslaw, LAC
- Lauren Elaine Bolander, MAT, LAT, ATC
- Heather Bomar Stamm, LMHC, CATP, CCTP
- Wendy Rae Bordeaux, P.T.A.
- Heather Borgon, O.D.
- Margarita Borrero- Marien, M D
- Joy Irene Bouchardthompson, LMT
- Boundary Peak Emergency Physicians LLC
- Boundary Peak Emergency Physicians LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.