Individual provider Active NPI

Cheryl F. Borden, PT

  • Pediatric Physical Therapist
  • Fayetteville, NC
National Provider Identifier
1306104773
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
P10329 Issued in NC
Practice address
4216 Bartlet Glen LN
Fayetteville, NC 28306-9357
Phone
(910) 868-6000
Fax
(866) 475-8361
NPI assigned
Apr 24, 2012
Last updated
Apr 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X P10329 NC Primary

Addresses

Primary practice location

4216 Bartlet Glen LN
Fayetteville, NC 28306-9357

Mailing address

5629 Monarch Birch Dr
Apex, NC 27539-5749
Phone (919) 363-8773

Other names 1

  • Cheryl Sue Farthing Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P10329NCMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1306104773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5629 MONARCH BIRCH DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275395749",
            "telephone_number": "919-363-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 BARTLET GLEN LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283069357",
            "telephone_number": "910-868-6000",
            "fax_number": "866-475-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEN",
        "first_name": "CHERYL",
        "middle_name": "F.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "P10329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "FARTHING",
            "middle_name": "SUE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.