Nicole Borriello, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

041163 Issued in NY

Practice address

20 Walnut St
Suite B
Montgomery, NY 12549-2260

Phone

(845) 457-5555

Fax

(845) 457-5556

NPI assigned

Mar 2, 2017

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1285174706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MAYBROOK RD",
            "address_2": "STE A",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109162743",
            "telephone_number": "845-636-4344",
            "fax_number": "845-636-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WALNUT ST",
            "address_2": "SUITE B",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125492260",
            "telephone_number": "845-457-5555",
            "fax_number": "845-457-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORRIELLO",
        "first_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Bicknell, FNP-BC
• Susan E Bloch, PT
• Cynthia A Boccia, OT
• Bonne Vie Family Medicine P.C
• Deonarine Boodram
• Nancy Billand Brother, R.N.
• Tess-Ann D Brown, FNP-BC
• Stephen Anthony Brune, D.C.
• Kevin J. Bryson, DDS
• Karen Bujno, RPH

• All providers in Montgomery, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.