Daniel Bordage

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

03076F Issued in LA

Practice address

920 Poeyfarre St Apt 265
New Orleans, LA 70130-3896

Phone

(337) 298-2293

NPI assigned

Jun 11, 2007

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1548464969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ABALON CT",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701141375",
            "telephone_number": "504-214-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 POEYFARRE ST APT 265",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701303896",
            "telephone_number": "337-298-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDAGE",
        "first_name": "DANIEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "03076F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• T'Mea Booth
• Tiffany Ann Booth
• Robert Scott Boothe Jr., MD
• Camille M Borchardt, BCBA, LBA
• Stephen M. Borchers, M.D.
• Gregory Jay Bordelon, M.D.
• Justin Robert Bordelon, MD
• Mary Colleen Bordelon
• Franklin John Bordenave II, M.D.
• Melissa Bordere

• Physical Therapist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.