Robert Borromeo, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1299370 Issued in TX

Practice address

12617 Ridgeline Blvd BLDG C105
Cedar Park, TX 78613-1606

Phone

(512) 996-0441

NPI assigned

Jul 2, 2018

Sex

Male

Sole proprietor

No

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

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Champion Performance Physical Therapy, PCGroup PAC ID 1153334834, 8 clinicians

Practice addresses (Care Compare)

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.

• Champion Performance Physical Therapy, PC

  • Physical Therapist
  • Austin, TX
  • NPI 1942279823
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1174019129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170040",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787170003",
            "telephone_number": "512-996-0441",
            "fax_number": "512-996-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12617 RIDGELINE BLVD BLDG C105",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786131606",
            "telephone_number": "512-996-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORROMEO",
        "first_name": "ROBERT",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1299370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline M Boles, LMFT
• Edward J Bombach, MD
• Caroline Mary Bonnema, MSN, APRN, AGNP-C
• Madison Bonsall, BCBA
• Kimberly Borchert, CD
• Madeleine Gottlieb Boskovitz, PH.D.
• Boss Healthcare Staffing
• Anne Tankersley Botter, LPC
• Virginia Bougher, O.D.
• Crystal Melanie Bowden-McKay, M.D.

• Physical Therapist in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.