Individual provider Active NPI

Olga Borsutsky, MSPT

  • Physical Therapist
  • Cherry Hill, NJ
National Provider Identifier
1487317343
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1031 Chanticleer
Cherry Hill, NJ 08003-4847
Phone
(856) 278-0701
NPI assigned
Oct 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NJ Primary

Addresses

Primary practice location

1031 Chanticleer
Cherry Hill, NJ 08003-4847

Mailing address

1031 Chanticleer
Cherry Hill, NJ 08003-4847

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211111000649 NJ Practitioner - Physical Therapist in Private Practice 9335538446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic and Rehab Center of South Jersey LLCGroup PAC ID 9638074891, 4 clinicians

Practice addresses (Care Compare)

1937 Haddonfield Berlin Rd
Cherry Hill, NJ 08003-3737
Phone (856) 616-0697

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic and Rehab Center of South Jersey Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Tatyana Komar Otr/L LLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

1500 Kings Hwy N
Ste B104
Cherry Hill, NJ 08034
Phone (856) 616-2385

1937 Haddonfield Berlin Rd
Cherry Hill, NJ 08003
Phone (856) 616-0610

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": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1487317343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 CHANTICLEER",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080034847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 CHANTICLEER",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080034847",
            "telephone_number": "856-278-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORSUTSKY",
        "first_name": "OLGA",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.