Evelyn Bordovsky, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11800 Issued in LA

Practice address

9462 Ellerbe Rd Ste 200
Shreveport, LA 71106-7466

Phone

(318) 606-5262

NPI assigned

May 21, 2024

Last updated

May 21, 2024By the provider in NPPES

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

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fultz Physical Therapy and Joint Rehab LLCGroup PAC ID 3072850486, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fultz Physical Therapy and Joint Rehab, LLC

  • Physical Therapist
  • Shreveport, LA
  • NPI 1912473034
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1386483188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9462 ELLERBE RD STE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9462 ELLERBE RD STE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067466",
            "telephone_number": "318-606-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDOVSKY",
        "first_name": "EVELYN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Bordelon
• Barbara Janelle Bordelon
• Randy Gerard Bordelon
• Evetta Lavern Borden, DPM
• Thomas W Borders, DDS
• Allison Borel, LPC
• Patti F. Bornaman, M.A.
• Alan John Borne, M.D.
• Charlotte A Borst
• Cornelius Bos, MD

• Physical Therapist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.