NPIMap

Organization Active NPI

Goldwyn & Boyland Physical Therapy PC

  • Physical Therapist
  • Cortland, NY
National Provider Identifier
1659576296
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011326-1 Issued in NY
Legal business name
GOLDWYN & BOYLAND PHYSICAL THERAPY PC
Practice address
274 Tompkins St
Cortland, NY 13045-3455
Phone
(607) 756-9886
Fax
(607) 756-8939
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
John BordenNPI 1134205453
Title
Owner
Phone
(585) 827-9669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 011326-1 NY Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X 004432-1 NY

Addresses

Primary practice location

274 Tompkins St
Cortland, NY 13045-3455

Mailing address

274 Tompkins St
Cortland, NY 13045-3455
Phone (607) 756-9886

Other identifiers 1

IdentifierTypeStateIssuer
02140256MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040722000207 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7113907064 Receives reassigned benefits from 7 practitioners
Practice locations: Cortland, NY

National Provider Directory

National Provider Directory
Tax ID family
Goldwyn and Boyland Physical Therapy PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5751 New Hartford St
Wolcott, NY 14590
Phone (315) 594-3132

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1659576296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 TOMPKINS ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453455",
            "telephone_number": "607-756-9886",
            "fax_number": "607-756-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 TOMPKINS ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453455",
            "telephone_number": "607-756-9886",
            "fax_number": "607-756-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDWYN & BOYLAND PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "BORDEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-827-9669"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011326-1",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "004432-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02140256",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.