Borko Rodic, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT019316 Issued in PA

Practice address

1070 Dairy LN
Elizabethtown, PA 17022-9547

Phone

(717) 361-7489

Fax

(717) 361-7528

NPI assigned

Jun 23, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Walker Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Fredericksburg, PA
  • NPI 1417633728

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1225299233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "570-837-2123",
            "fax_number": "570-837-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 DAIRY LN",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170229547",
            "telephone_number": "717-361-7489",
            "fax_number": "717-361-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODIC",
        "first_name": "BORKO",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT002169",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021539500001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rheems Operator, LLC
• Richard D. Knowlton, DMD
• Jolyn Amber Rineer
• Jeffrey B Rittenhouse, M.D.
• Katelyn Marie Roberts, CRNP
• Erica Rohrer
• Saritha Rothermel, LPC
• Amy Sbaiti, PHARM.D.
• Jessica Schaffer, MS, ATC, CES, PCES
• Carolyn Schlicher, NBC-HWC, CWC

• Physical Therapist in Elizabethtown, PA
• Providers in Elizabethtown, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.