Erik Kristopher Bork, DP T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9931-024 Issued in WI

Practice address

8677 N Port Washington Rd
Fox Point, WI 53217-2209

Phone

(414) 351-8482

NPI assigned

May 18, 2006

Last updated

Apr 19, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Integra Physical Therapy,SC

  • Physical Therapy Clinic/Center
  • Fox Point, WI
  • NPI 1417221433
  Medicare reassignment
• Vita Physical Therapy SC

  • Physical Therapy Clinic/Center
  • Milwaukee, WI
  • NPI 1255386454

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1750334041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8677 N PORT WASHINGTON RD",
            "city": "FOX POINT",
            "state": "WI",
            "postal_code": "532172209",
            "telephone_number": "414-351-8482",
            "fax_number": "414-351-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8677 N PORT WASHINGTON RD",
            "city": "FOX POINT",
            "state": "WI",
            "postal_code": "532172209",
            "telephone_number": "414-351-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORK",
        "first_name": "ERIK",
        "middle_name": "KRISTOPHER",
        "credential": "DP T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "9931-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36109200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Behrens, M.D.
• Meghan C. Belongia, APNP
• Kristin D Bencik Boudreau, D.O.
• Timmeka Beric
• William John Blaser, PHARMD
• Careshare Assisted Living, Inc.
• M Sandra Casper, DDS
• Children's Medical Group
• Charlie Coenen
• Britt Ericka Conine, M.S., CCC-SLP

• Physical Therapist in Fox Point, WI
• Providers in Fox Point, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.