Individual provider Active NPI

Melissa Ann Bordewick, PT, DPT

  • Physical Therapist
  • Portsmouth, OH
National Provider Identifier
1417375296
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.14200 Issued in OH
Practice address
727 8TH St
Portsmouth, OH 45662-4020
Phone
(740) 354-8150
NPI assigned
Mar 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NV
Physical Therapist 225100000X PT.14200 OH Primary

Addresses

Primary practice location

727 8TH St
Portsmouth, OH 45662-4020

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

4000 S Eastern Ave Ste 300
Las Vegas, NV 89119-0826
Phone (702) 734-2732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251013001139 NV Practitioner - Physical Therapist in Private Practice 9335636513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Century Rehabilitation LLCGroup PAC ID 3274422647, 85 clinicians

Practice addresses (Care Compare)

4000 S Eastern Ave
Suite 300
Las Vegas, NV 89119-0826
Phone (702) 734-2732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT.14200OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Sep 3, 2025 Accepting new patients
New Century Rehabilitation, LLC CurrentSince Sep 3, 2025 Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732

6830 W Oquendo Rd
Ste 101
Las Vegas, NV 89118
Phone (702) 258-3066

Organizations & group practices 2

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": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1417375296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 8TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624020",
            "telephone_number": "740-354-8150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 S Eastern Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891190826",
            "country_code": "US",
            "telephone_number": "702-734-2732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORDEWICK",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.14200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.