Beth A Borecky, LMT, BCTMB,MMMT,CPT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MSG006157 Issued in PA

Practice address

5040 W Ridge Rd Suite 208
Erie, PA 16506-1271

Phone

(814) 873-6324

Fax

(814) 446-7837

NPI assigned

Apr 3, 2013

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1386987816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 KELL RD",
            "city": "FAIRVIEW",
            "state": "PA",
            "postal_code": "164152405",
            "telephone_number": "814-474-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 W RIDGE RD SUITE 208",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061271",
            "telephone_number": "814-873-6324",
            "fax_number": "814-446-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORECKY",
        "first_name": "BETH",
        "middle_name": "A",
        "credential": "LMT, BCTMB,MMMT,CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG006157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Lynn Bonovitch, LPN
• Rosalie Anne Bonus, PA
• Rachel Bonyai, MSW
• Angela M Bootes, CRNP
• Dennis P Borczon, MD
• Angela Trice Borgia, D.M.D.
• Bogdan Borisenko, PA-C
• Mark A Borland, LPC, PHD
• Eldena Borovina, PA-C
• David T. Borowski, MD

• Massage Therapist in Erie, PA
• Providers in Erie, PA by specialty
• Massage Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.