Michael J Borst
Individual provider Active NPI Occupational Therapist · Monona, WI
NPI 1649339334 · NPPES record last updated Jan 5, 2012
Key facts
- NPI
- 1649339334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 1941-026 (WI)
- Practice address
- 6408 Copps Ave
Meriter Hand Therapy
Monona, WI 53716-3702 - Phone
- (608) 417-3131
- Fax
- (608) 417-3130
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1941-026 | WI | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 1941-026 | WI | |
| Occupational Therapist | 225X00000X | 1941-026 | WI | Yes |
Addresses
Primary practice location
6408 Copps Ave
Meriter Hand Therapy
Monona, WI 53716-3702
Mailing address
6408 Copps Ave
Meriter Hand Therapy
Monona, WI 53716-3702
Phone (608) 417-3131
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41035200 | Medicaid | WI |
Other providers in Monona, WI
- Aleah Blada
- Matthew Blahunka
- Beth Ann Blair
- Derek Blum
- Ann Marie Bohlman
- Deborah K Boushea
- Alexis Jo Boz
- Bright Side Eye Care, S.C.
- Sarah Beth Brockman
- Gina Bryan
All providers in Monona, WI · Occupational Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.