Active NPI
Gary Bordes, CPTA
- Physical Therapy Assistant
- Kenner, LA
National Provider Identifier
1659424083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A2649
- Practice address
- 671 W Esplanade Ave
Suite 100
Kenner, LA 70065-2794 - Phone
- (504) 467-5900
- Fax
- (504) 467-7272
- NPI assigned
- Jan 19, 2007
- Sex
- Male
- 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 Therapy Assistant | 225200000X | A2649 | LA | Primary |
Addresses
Primary practice location
671 W Esplanade Ave
Suite 100
Kenner, LA 70065-2794
Mailing address
4921 Airline Dr
Metairie, LA 70001-5664
Phone (504) 889-2663
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A2649 | LA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Center for Sports Medicine and Reconstructive Surgery | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Metairie, LA
- NPI 1124171673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659424083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4921 AIRLINE DR",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700015664",
"telephone_number": "504-889-2663",
"fax_number": "504-889-5615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "671 W ESPLANADE AVE",
"address_2": "SUITE 100",
"city": "KENNER",
"state": "LA",
"postal_code": "700652794",
"telephone_number": "504-467-5900",
"fax_number": "504-467-7272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORDES",
"first_name": "GARY",
"credential": "CPTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "LA",
"license": "A2649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenner, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.