Active NPI
Chandani Borad
- Physical Therapist
- Bear, DE
National Provider Identifier
1578091468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0003714
- Practice address
- 1859 Pulaski Hwy
Bear, DE 19701-1731 - Phone
- (732) 347-7203
- NPI assigned
- May 23, 2017
- Sex
- Female
- Sole proprietor
- No
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 | J1-0003714 | DE | Primary |
Addresses
Primary practice location
1859 Pulaski Hwy
Bear, DE 19701-1731
Mailing address
30 Crimson King Dr
Bear, DE 19701-2387
Phone (323) 477-2037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210706000098 | DE | Practitioner - Physical Therapist in Private Practice | 6901208503 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bear Physical Therapy and Wellness Inc
Practice addresses (Care Compare)
1859 Pulaski Hwy
Bear, DE 19701-1731
Phone (201) 744-3276
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bear Physical Therapy & Wellness Inc | Physical Therapist | Current | Accepting new patients |
| Wilmington Physical Therapy & Wellness | Physical Therapist | Past | Accepting new patients |
Locations
1859 Pulaski Hwy
Bear, DE 19701
Phone (201) 744-3276
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.
-
- Physical Therapist
- Bear, DE
- NPI 1689258741
DE, Physical Therapist
-
- Physical Therapist
- Wilmington, DE
- NPI 1023964418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1578091468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 CRIMSON KING DR",
"city": "BEAR",
"state": "DE",
"postal_code": "197012387",
"telephone_number": "323-477-2037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1859 PULASKI HWY",
"city": "BEAR",
"state": "DE",
"postal_code": "197011731",
"telephone_number": "732-347-7203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORAD",
"first_name": "CHANDANI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-23",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0003714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bear, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.