Kyle Borowitz, P.T. AND O.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9887-024 Issued in WI

Practice address

103 S Pioneer Rd # 100
Fond Du Lac, WI 54935-3871

Phone

(920) 922-7776

Fax

(920) 922-2938

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back in Action Rehabilitation S.C.Group PAC ID 3577529346, 9 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 and National Provider Directory roles.

• Back in Action Rehabilitation, S.C.

  • Physical Therapist
  • Mayville, WI
  • NPI 1740481779
  Medicare reassignment Care Compare group NPD
• Roberts & Associates Physical Therapy SC

  • Physical Therapist
  • Wisconsin Rapids, WI
  • NPI 1346342839
  Medicare reassignment NPD
• Back in Action Rehabilitation S.C.

  • Physical Therapist
  • Kewaskum, WI
  • NPI 1053512095
  NPD
• Back in Action Rehabilitation, S.C.

  • Occupational Therapist
  • Fond Du Lac, WI
  • NPI 1356372445

  Physical Therapist

  NPD (past)
• Roberts & Associates Physical Therapy SC

  • Physical Therapy Clinic/Center
  • Wisconsin Rapids, WI
  • NPI 1538300306
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1396764874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S PIONEER RD # 100",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353871",
            "telephone_number": "920-922-7776",
            "fax_number": "920-922-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S PIONEER RD # 100",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353871",
            "telephone_number": "920-922-7776",
            "fax_number": "920-922-2938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "167 N Main St",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "WI",
            "postal_code": "544069028",
            "country_code": "US",
            "telephone_number": "715-529-3487",
            "fax_number": "715-251-6236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 W North St",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "WI",
            "postal_code": "549669557",
            "country_code": "US",
            "telephone_number": "715-529-3487",
            "fax_number": "715-251-6236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 8th St S",
            "address_purpose": "LOCATION",
            "city": "Wisconsin Rapids",
            "state": "WI",
            "postal_code": "544945019",
            "country_code": "US",
            "telephone_number": "715-529-3424",
            "fax_number": "715-251-6236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOROWITZ",
        "first_name": "KYLE",
        "credential": "P.T. AND O.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "2895-026",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "9887-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40826900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley Bokelman
• George Boling, O.D.
• Michelle L Boodry, LPC
• Karene Marie Boos, P.T.
• Jessica Lynne Born
• David Borsky, DDS, MSD
• Kathryn S. Borsodi, M.D.
• Jessica L Bosquez, DPT
• Lindsy Bothe, PTA
• Kent T Botsford III

• Physical Therapist in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.