Active NPI
Puja Borso, OTR
- Occupational Therapist
- Clarkston, MI
National Provider Identifier
1588955322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201006770
- Practice address
- 2995 Weidemann Dr
Clarkston, MI 48348-1249 - Phone
- (248) 346-4515
- Fax
- (248) 275-1133
- NPI assigned
- Apr 27, 2011
- Last updated
- May 23, 2019
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201006770 | MI | Primary |
Addresses
Primary practice location
2995 Weidemann Dr
Clarkston, MI 48348-1249
Mailing address
2995 Weidemann Dr
Clarkston, MI 48348-1249
Phone (248) 346-4515
Other practice location 1
2032 Alfred Dr
Troy, MI 48085-1058
Phone (248) 346-4515
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ability Plus Home Health Care Inc | Past | Accepting new patients | |
| Creekside Place, Inc. | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- In Home Supportive Care Agency
- Clarkston, MI
- NPI 1811662091
-
- In Home Supportive Care Agency
- Clarkston, MI
- NPI 1679230767
-
- Home Health Agency
- Clarkston, MI
- NPI 1386308369
-
- Adult Care Home Facility
- West Bloomfield, MI
- NPI 1194343046
-
dba The Care Team
- Home Health Agency
- Traverse City, MI
- NPI 1013171081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1588955322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 WEIDEMANN DR",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483481249",
"telephone_number": "248-346-4515",
"fax_number": "248-275-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2995 WEIDEMANN DR",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483481249",
"telephone_number": "248-346-4515",
"fax_number": "248-275-1133"
}
],
"practiceLocations": [
{
"address_1": "2032 Alfred Dr",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480851058",
"country_code": "US",
"telephone_number": "248-346-4515",
"fax_number": "248-275-1133",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORSO",
"first_name": "PUJA",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-27",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201006770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.