Individual provider Active NPI

Patricia Bores, MSPT

  • Physical Therapist
  • Marco Island, FL
National Provider Identifier
1881998839
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20480 Issued in FL
Practice address
291 S Collier Blvd
Unit 105
Marco Island, FL 34145-4829
Phone
(239) 642-3948
Fax
(239) 642-4243
NPI assigned
Jan 5, 2011
Last updated
Oct 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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 PT20480 FL Primary

Addresses

Primary practice location

291 S Collier Blvd
Unit 105
Marco Island, FL 34145-4829

Mailing address

291 S Collier Blvd
Unit 105
Marco Island, FL 34145-4829
Phone (239) 642-3948

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110131000157 FL Practitioner - Physical Therapist in Private Practice 5193904662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Step Ahead Physical Therapy P.a.Group PAC ID 6800999533, 2 clinicians

Practice addresses (Care Compare)

291 S Collier Blvd
Unit 105
Marco Island, FL 34145-4829
Phone (239) 642-3948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A Step Ahead Physical Therapy P.a. Physical Therapist CurrentSince Dec 22, 2010 Accepting new patients

Locations

291 S Collier Blvd
Unit 105
Marco Island, FL 34145
Phone (239) 642-3948

601 E Elkcam Cir
Ste A2
Marco Island, FL 34145
Phone (239) 642-3948

Organizations & group practices 1

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": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1881998839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 S COLLIER BLVD",
            "address_2": "UNIT 105",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341454829",
            "telephone_number": "239-642-3948",
            "fax_number": "239-642-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 S COLLIER BLVD",
            "address_2": "UNIT 105",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341454829",
            "telephone_number": "239-642-3948",
            "fax_number": "239-642-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORES",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marco Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.