Active NPI
Antonino Borromeo, P.T.
- Physical Therapist
- Chambersburg, PA
National Provider Identifier
1750577045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT001257E
- Practice address
- 1035 Wayne Ave
Suite 1
Chambersburg, PA 17201-2986 - Phone
- (717) 264-6211
- Fax
- (717) 264-0406
- NPI assigned
- Sep 20, 2007
- Last updated
- Jul 25, 2012
- 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 Therapist | 225100000X | PT001257E | PA | Primary |
Addresses
Primary practice location
1035 Wayne Ave
Suite 1
Chambersburg, PA 17201-2986
Mailing address
1035 Wayne Ave
Suite 1
Chambersburg, PA 17201-2986
Phone (717) 264-6211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7106389 | Other | PA | MED ASSISTANCE |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidz Therapy Zone, LLC | Physical Therapist | 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, 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": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343174400000",
"number": "1750577045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 WAYNE AVE",
"address_2": "SUITE 1",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172012986",
"telephone_number": "717-264-6211",
"fax_number": "717-264-0406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 WAYNE AVE",
"address_2": "SUITE 1",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172012986",
"telephone_number": "717-264-6211",
"fax_number": "717-264-0406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORROMEO",
"first_name": "ANTONINO",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-20",
"last_updated": "2012-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT001257E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MED ASSISTANCE",
"identifier": "7106389",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chambersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.