Active NPI
Beth Annelle Borchelt, M.S.,P.T.
- Physical Therapist
- West Boylston, MA
National Provider Identifier
1508987942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- AH6706
- Practice address
- 9 Maple St
Suite 5
West Boylston, MA 01583-1838 - Phone
- (508) 835-9241
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | AH6706 | MA | Primary |
Addresses
Primary practice location
9 Maple St
Suite 5
West Boylston, MA 01583-1838
Mailing address
9 Maple St
Suite 5
West Boylston, MA 01583-1838
Phone (508) 835-9241
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IS G SF90 | Other | MA | HARVARD PILGRIM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AH6706 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355184000000",
"number": "1508987942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 MAPLE ST",
"address_2": "SUITE 5",
"city": "WEST BOYLSTON",
"state": "MA",
"postal_code": "015831838",
"telephone_number": "508-835-9241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 MAPLE ST",
"address_2": "SUITE 5",
"city": "WEST BOYLSTON",
"state": "MA",
"postal_code": "015831838",
"telephone_number": "508-835-9241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORCHELT",
"first_name": "BETH",
"middle_name": "ANNELLE",
"name_prefix": "Mrs.",
"credential": "M.S.,P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2012-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "AH6706",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "IS G SF90",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Boylston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.