Active NPI
Michael Borst, DPT, ATC
- Orthopedic Physical Therapist
- La Crosse, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 14175
- Practice address
- 509 Main St
La Crosse, WI 54601 - Phone
- (608) 351-3049
- NPI assigned
- May 12, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Orthopedic Physical Therapist | 2251X0800X | 14175 | WI | Primary |
Addresses
Primary practice location
509 Main St
La Crosse, WI 54601
Mailing address
509 Main St
La Crosse, WI 54601-4004
Phone (608) 351-3049
Other practice location 1
632 11th St N
LA Crosse, WI 54601-3527
Phone (414) 651-7215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1430 Main St
Onalaska, WI 54650-2835
Phone (608) 351-3049
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14175 | WI | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roberts & Associates Physical Therapy SC | Orthopedic | Current | Accepting new patients |
| Dynamic PT LLC | Orthopedic | Current | Accepting new patients |
| Roberts & Associates Physical Therapy SC | Past | Accepting new patients |
Locations
2841 Darling Ct
La Crosse, WI 54601
Phone (608) 351-3049
1430 Main St
Onalaska, WI 54650
Phone (608) 351-3049
Organizations & group practices 3
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.
-
dba Roberts Physical Therapy
- Physical Therapist
- Wisconsin Rapids, WI
- NPI 1346342839
Orthopedic
-
dba Roberts Physical Therapy
- Physical Therapy Clinic/Center
- Wisconsin Rapids, WI
- NPI 1538300306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1235517046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 MAIN ST",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546014004",
"telephone_number": "608-351-3049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 MAIN ST",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "54601",
"telephone_number": "608-351-3049"
}
],
"practiceLocations": [
{
"address_1": "632 11th St N",
"address_purpose": "LOCATION",
"city": "LA Crosse",
"state": "WI",
"postal_code": "546013527",
"country_code": "US",
"telephone_number": "414-651-7215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORST",
"first_name": "MICHAEL",
"credential": "DPT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-12",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WI",
"license": "14175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.