Individual provider Active NPI

Nicole Patrice Borman, PT

  • Physical Therapist
  • Rowlett, TX
National Provider Identifier
1326229667
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1088508 Issued in TX
Practice address
6522 Union St
Rowlett, TX 75089-7137
Phone
(972) 978-4117
Fax
(214) 706-2310
NPI assigned
Nov 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1088508 TX Primary

Addresses

Primary practice location

6522 Union St
Rowlett, TX 75089-7137

Mailing address

6522 Union St
Rowlett, TX 75089-7137
Phone (972) 978-4117

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pitman Creek Physical Therapy P C Physical Therapist PastSince Jun 1, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1326229667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6522 UNION ST",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750897137",
            "telephone_number": "972-978-4117",
            "fax_number": "214-706-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6522 UNION ST",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750897137",
            "telephone_number": "972-978-4117",
            "fax_number": "214-706-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORMAN",
        "first_name": "NICOLE",
        "middle_name": "PATRICE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1088508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.