Individual provider Active NPI

Puja Borso, OTR

  • Occupational Therapist
  • Clarkston, MI
National Provider Identifier
1588955322
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201006770 Issued in MI
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Ability Plus Home Health Care Inc PastSince Jul 19, 2008 Accepting new patients
Creekside Place, Inc. PastSince Jul 12, 2020 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.

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.

Verify at the official NPI Registry.