Individual provider Active NPI

Timothy Michael Borden, PT

  • Orthopedic Physical Therapist
  • Tucson, AZ
National Provider Identifier
1801886056
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
0803 Issued in AZ
Practice address
6264 E. Grant Road
Borden Physical Therapy, LLC
Tucson, AZ 85712-5882
Phone
(520) 884-0001
Fax
(520) 884-0199
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 803 AZ
Orthopedic Physical Therapist 2251X0800X 0803 AZ Primary

Addresses

Primary practice location

6264 E. Grant Road
Borden Physical Therapy, LLC
Tucson, AZ 85712-5882

Mailing address

6264 E. Grant Road
Borden Physical Therapy, LLC
Tucson, AZ 85712-5882
Phone (520) 884-0001

Other practice location 1

4544 E Camp Lowell
Ste 150
Tucson, AZ 85712
Phone (520) 884-0001

Other identifiers 1

IdentifierTypeStateIssuer
AZ0460450OtherAZBCBS

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

State licenses

LicenseStateTypeSpecialty
803AZMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1801886056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6264 E. GRANT ROAD",
            "address_2": "BORDEN PHYSICAL THERAPY, LLC",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125882",
            "telephone_number": "520-884-0001",
            "fax_number": "520-884-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6264 E. GRANT ROAD",
            "address_2": "BORDEN PHYSICAL THERAPY, LLC",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125882",
            "telephone_number": "520-884-0001",
            "fax_number": "520-884-0199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4544 E Camp Lowell",
            "address_2": "Ste 150",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85712",
            "country_code": "US",
            "telephone_number": "520-884-0001",
            "fax_number": "520-884-0199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORDEN",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "803",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "0803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0460450",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.