Active NPI
Pamela Beck Bork, PT
- Clinic/Center
- Columbus, OH
National Provider Identifier
1821255753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- PT.0041810
- Practice address
- 1875 Millikin Rd
Columbus, OH 43210-2200 - Phone
- (614) 292-0113
- Fax
- (614) 247-6074
- NPI assigned
- May 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | PT.0041810 | OH | Primary |
Addresses
Primary practice location
1875 Millikin Rd
Columbus, OH 43210-2200
Mailing address
1875 Millikin Rd
Columbus, OH 43210-2200
Phone (614) 292-0113
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 |
|---|---|---|---|
| PT.0041810 | OH | MD | Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1821255753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1875 MILLIKIN RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432102200",
"telephone_number": "614-292-0113",
"fax_number": "614-247-6074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 MILLIKIN RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432102200",
"telephone_number": "614-292-0113",
"fax_number": "614-247-6074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORK",
"first_name": "PAMELA",
"middle_name": "BECK",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-19",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "OH",
"license": "PT.0041810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.