Active NPI
Bianca Renee Borges, OTR/L
- Occupational Therapist
- Stoughton, MA
National Provider Identifier
1861098253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13820
- Practice address
- 909 Sumner St
Stoughton, MA 02072-3396 - Phone
- (508) 584-5190
- NPI assigned
- Dec 10, 2020
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 13820 | MA | Primary |
Addresses
Primary practice location
909 Sumner St
Stoughton, MA 02072-3396
Mailing address
909 Sumner St
Stoughton, MA 02072-3396
Phone (508) 584-5190
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 |
|---|---|---|---|
| 13820 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1861098253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 SUMNER ST",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020723396",
"telephone_number": "508-584-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 SUMNER ST",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020723396",
"telephone_number": "508-584-5190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORGES",
"first_name": "BIANCA",
"middle_name": "RENEE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-10",
"last_updated": "2020-12-10",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "MA",
"license": "13820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stoughton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.