Lisa Ruttenberg Bor, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PTH1468 Issued in AL

Practice address

2823 Greystone Comm Blvd
Birmingham, AL 35242

Phone

(205) 745-3660

Fax

(205) 745-3649

NPI assigned

May 27, 2005

Last updated

Nov 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapy South Homewood LLCGroup PAC ID 9436463833, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Therapy South Homewood LLC

  • Physical Therapist
  • Vestavia Hills, AL
  • NPI 1114304474
  Medicare reassignment Care Compare group NPD
• Over the Mountain Rehab, Inc

  • Physical Therapist
  • Homewood, AL
  • NPI 1376610865
  NPD Authorized official
• Over the Mountain Rehab, Inc

  • Occupational Therapist
  • Birmingham, AL
  • NPI 1306111307
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1851394563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 GREYSTONE COMM BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422660",
            "telephone_number": "205-745-3660",
            "fax_number": "205-745-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 GREYSTONE COMM BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35242",
            "telephone_number": "205-745-3660",
            "fax_number": "205-745-3649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2204 Lakeshore Dr",
            "address_2": "Ste 150",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352096729",
            "country_code": "US",
            "telephone_number": "205-423-9502",
            "fax_number": "205-423-9504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOR",
        "first_name": "LISA",
        "middle_name": "RUTTENBERG",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "PTH1468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Douglas Booton, M.D.
• Margaret Boozer
• Cedrick Silfried Bopda-Waffo
• Suresh B Boppana, MD
• James Joseph Bor, P.T.
• Richard Borak
• Samuel Glenn Borak, M.D.
• Polly Borasino, CRNP
• Santiago Borasino, M.D.
• Ginette Bordcoch de Martino, MD

• Specialist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.