Individual provider Active NPI

Toby Allen Bortner, PT

  • Clinical Electrophysiology Physical Therapist
  • Gettysburg, PA
National Provider Identifier
1558774935
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X
License
21375 Issued in MD
Practice address
39 Hounds Run
Gettysburg, PA 17325-7890
Phone
(717) 398-9900
NPI assigned
Jun 3, 2014
Last updated
Jun 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Electrophysiology Physical Therapist 2251E1300X 21375 MD Primary
Clinical Electrophysiology Physical Therapist 2251E1300X PT008376L PA

Addresses

Primary practice location

39 Hounds Run
Gettysburg, PA 17325-7890

Mailing address

39 Hounds Run
Gettysburg, PA 17325-7890
Phone (717) 398-9900

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
21375MDMDClinical Electrophysiology Physical Therapist
PT008376LPAMDClinical Electrophysiology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
East Berlin Foot and Ankle Center, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: toby.bortner.1@17629.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1558774935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 HOUNDS RUN",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173257890",
            "telephone_number": "717-398-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 HOUNDS RUN",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173257890",
            "telephone_number": "717-398-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTNER",
        "first_name": "TOBY",
        "middle_name": "ALLEN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "MD",
            "license": "21375",
            "primary": true
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "PA",
            "license": "PT008376L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.