Darin Scott Borter, PT
Individual provider Active NPI Physical Therapist · Portland, OR
NPI 1295717320 · NPPES record last updated Nov 1, 2012
Key facts
- NPI
- 1295717320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4177 (OR)
- Practice address
- 4415 SW Vermont St
Portland, OR 97219-1020 - Phone
- (503) 244-0570
- Fax
- (503) 244-0572
- NPI assigned
- Nov 15, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Therapeutic Associates Inc
Practice addresses (Care Compare)
20055 SW Pacific Hwy
Suite 110
Sherwood, OR 97140-9294
Phone (503) 625-1691
4415 SW Vermont St
Portland, OR 97219-1020
Phone (503) 244-0570
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050715000544 | OR | Practitioner - Physical Therapist in Private Practice | 2668408147 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4177 | OR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Associates Inc | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Current |
Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Current |
Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Locations
2005 Elm St
Ste 200
Forest Grove, OR 97116
Phone (503) 357-9810
10215 SW Parkway
Ste D
Portland, OR 97225
Phone (503) 292-3583
4415 SW Vermont St
Portland, OR 97219
Phone (503) 244-0570
20055 SW Pacific Hwy
Ste 110
Sherwood, OR 97140
Phone (503) 625-1691
16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153
Interoperability endpoints
- darin.borter.1@31414.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4177 | OR | Yes |
Addresses
Primary practice location
4415 SW Vermont St
Portland, OR 97219-1020
Mailing address
16083 SW Upper Boones Ferry Rd
Ste. 300
Tigard, OR 97224-7736
Phone (800) 219-8835
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 230786 | Medicaid | OR |
Other providers in Portland, OR
- Clarisa Borrego
- Alex Borsuk
- Elizabeth Bort
- Elizabeth Anne Borte
- Peter Logan Borten
- Carson Bortz
- Karen Joanne Bos
- Alexander Jon Boscanin
- Brandon Bosch
- Luiza M. Bosch
All providers in Portland, OR · Physical Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.