Micah Joy Boriack, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PTL.0018383 Issued in CO

Practice address

155 S Madison St Ste 303
Denver, CO 80209-3014

Phone

(720) 853-2382

NPI assigned

May 24, 2022

Last updated

May 24, 2022By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Lindsay Braun

  • Physical Therapy Clinic/Center
  • Denver, CO
  • NPI 1710334842
  NPD (past)

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1447998976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 MESA MEADOWS CT",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093581",
            "telephone_number": "541-690-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 S MADISON ST STE 303",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093014",
            "telephone_number": "720-853-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORIACK",
        "first_name": "MICAH",
        "middle_name": "JOY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "PTL.0018383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Boren, MSN, FNP-BC
• Charlee Borg
• Maria Bartlett Borg, PT
• Jamie Borgert, LCSW, MSW, MPH
• Carolyn Borgos, PT
• Igor Borisov, MD
• Julia Michelle Borja, LPC
• China Andria Borjas, LPC
• Angela Borkowski, MSW
• Alicia Borley, LCSW

• Physical Medicine & Rehabilitation Physician in Denver, CO
• Providers in Denver, CO by specialty
• Physical Medicine & Rehabilitation Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.