Erwin Physical Therapy

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

PT0000003577 Issued in TN

Legal business name

ERWIN PHYSICAL THERAPY

Practice address

1201 N Main Ave
Erwin, TN 37650-9168

Phone

(423) 854-0001

Fax

(423) 854-0002

NPI assigned

May 22, 2007

Last updated

Sep 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Francisco E Borquez, PTNPI 1851313969

Title

Owner

Phone

(423) 854-0001

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Francisco E Borquez, PT

  • Physical Therapist
  • Erwin, TN
  • NPI 1851313969
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1831308147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5748",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376025748",
            "telephone_number": "423-854-0001",
            "fax_number": "423-854-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N MAIN AVE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376509168",
            "telephone_number": "423-854-0001",
            "fax_number": "423-854-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERWIN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "BORQUEZ",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-854-0001",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "TN",
            "license": "PT0000003577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3645345",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erwin Dental, P.L.L.C.
• Erwin Eye Care PLLC
• Erwin Health Care Associates LTD (Erwin Health Care Center)
• Erwin Healthcare LLC
• Erwin Medical Clinic
• Erwin Physical Therapy, Inc
• Family Medical Associates, LLC
• Jennifer Lee Farnor
• Cleo B Farr, LPC/ MHSP
• Fast Pace Medical Clinic PLLC

• Legal Medicine in Erwin, TN
• Providers in Erwin, TN by specialty
• Legal Medicine in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.