Kelly Borden, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTP-OT-LIC-6086 Issued in MT

Practice address

5529 Old US Highway 93
Florence, MT 59833-6564

Phone

(406) 273-4246

NPI assigned

Jul 25, 2018

Last updated

Jul 25, 2018By 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

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.

• Florence Physical Therapy Inc

  dba Willow Creek Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Florence, MT
  • NPI 1932258001
  NPD (past)

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1538646286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5529 OLD US HIGHWAY 93",
            "city": "FLORENCE",
            "state": "MT",
            "postal_code": "598336564",
            "telephone_number": "320-766-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5529 OLD US HIGHWAY 93",
            "city": "FLORENCE",
            "state": "MT",
            "postal_code": "598336564",
            "telephone_number": "406-273-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEN",
        "first_name": "KELLY",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "OTP-OT-LIC-6086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bear Creek Wellness Center LLC
• Shawn M. Berard
• Bitterroot Valley Spinal Care PLLC
• Kelly Boniecki, RDH
• Mariah Walker Bonner, DO
• Paul Edward Brand, PHARMD
• Brittney Buckley, PT, DPT
• Brenda L Dahl, MSPT
• Florence Community Pharmacy, Inc (Florence Pharmacy)
• Florence Community Pharmacy, Inc (Florence Pharmacy)

• Occupational Therapist in Florence, MT
• Providers in Florence, MT by specialty
• Occupational Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.