Individual provider Active NPI

Francisco E Borquez, PT

  • Physical Therapist
  • Erwin, TN
National Provider Identifier
1851313969
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0000003577 Issued in TN
Practice address
1201 N Main Ave
Erwin, TN 37650-9168
Phone
(423) 735-7500
Fax
(423) 735-7505
NPI assigned
Jul 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT0000003577 TN Primary

Addresses

Primary practice location

1201 N Main Ave
Erwin, TN 37650-9168

Mailing address

1201 N Main Ave
Erwin, TN 37650-9168
Phone (423) 735-7500

Other identifiers 2

IdentifierTypeStateIssuer
4102657OtherTNBLUECROSS BLUESHIELD
3645345MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050620001157 TN Practitioner - Physical Therapist in Private Practice 9335182971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1201 N Main Ave
Suite 1
Erwin, TN 37650-9102
Phone (423) 735-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3577TNMDDentist
PT0000003577TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Erwin Physical Therapy CurrentSince May 1, 2005 Accepting new patients

Locations

1201 N Main Ave
Erwin, TN 37650
Phone (423) 330-1057

1201 N Main Ave
Ste 1
Erwin, TN 37650
Phone (423) 735-7500

1409 W Market St
Ste 108
Johnson City, TN 37604
Phone (423) 833-0031

3101 Browns Mill Rd
Johnson City, TN 37604
Phone (423) 282-1100

3101 Browns Mill Rd
Ste 6
Johnson City, TN 37604
Phone (423) 408-2778

Organizations & group practices 2

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851313969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N MAIN AVE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376509168",
            "telephone_number": "423-735-7500",
            "fax_number": "423-735-7505"
        },
        {
            "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": "423-735-7500",
            "fax_number": "423-735-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORQUEZ",
        "first_name": "FRANCISCO",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000003577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "4102657",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3645345",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erwin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.