Maria Bernadette Bordador, PTA
Individual provider Active NPI Physical Therapy Assistant · Louisville, KY
NPI 1356923908 · NPPES record last updated Apr 23, 2021
Key facts
- NPI
- 1356923908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A03817 (KY)
- Practice address
- 1800 Old Bluegrass Ave
Louisville, KY 40215-1168 - Phone
- (502) 361-2301
- NPI assigned
- Apr 23, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A03817 | KY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A03817 | KY | Yes |
Addresses
Primary practice location
1800 Old Bluegrass Ave
Louisville, KY 40215-1168
Mailing address
1800 Old Bluegrass Ave
Louisville, KY 40215-1168
Phone (502) 361-2301
Other providers in Louisville, KY
- Migion Migion Booth
- Rebecca J Booth
- Stephen J Booth
- Jodee Borah
- Lawrence Harold Boram
- Ashley Borden
- David E Borden
- Lisa S Borden
- Brandon Borders
- Nicholas J Borders
All providers in Louisville, KY · Physical Therapy Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.