Brian Joseph Borden, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22603 Issued in FL

Practice address

1361 13TH Ave S Ste 160
Jacksonville Beach, FL 32250-3235

Phone

(904) 339-8406

Fax

(904) 339-8407

NPI assigned

Dec 13, 2006

Last updated

Nov 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Penemarie K Murphy Inc

  dba Physical Therapy Services

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1730228743
  NPD (past)
• Penemarie K Murphy, Inc

  dba Physical Therapy Services

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1780762096
  NPD (past)
• Physicians Group Services PA

  dba Coastal Health

  • Family Medicine Physician
  • Orange Park, FL
  • NPI 1861440810
  NPD (past)
• Rebound Rehabilitative Services Inc

  • Physical Therapy Clinic/Center
  • St Augustine, FL
  • NPI 1477510907

  Physical Therapist

  NPD (past)
• Rebound Rehabilitative Services Inc

  • Physical Therapist
  • Jacksonville Beach, FL
  • NPI 1578202404
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1427119437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SOUTHPARK BLVD STE B201",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865159",
            "telephone_number": "904-824-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S STE 160",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503235",
            "telephone_number": "904-339-8406",
            "fax_number": "904-339-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEN",
        "first_name": "BRIAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT22603",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Gersek Bodkin, RD, LD/N,CDE
• Richard J Boehme, MD
• Kamal I Bohsali, M.D.
• Leslie Margaret Bohsali, ARNP
• John G. Bordelon, MD
• Rosemary Maxwell Bossow, RD, LDN
• Kristen Bourque
• Marijane Q. Boyd, M.D.
• Julie Breedlove
• Lisa Kay Breedlove, FNP-APRN-BC

• Physical Therapist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.