Individual provider Active NPI

Linda Ann Borgmeyer, OTR

  • Occupational Therapist
  • Palm Beach Gardens, FL
National Provider Identifier
1891831236
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT3969 Issued in FL
Practice address
451 Kelsey Park Dr
Palm Beach Gardens, FL 33410-4515
Phone
(561) 202-7650
Fax
(561) 828-7804
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Occupational Therapist 225XG0600X OT3969 FL
Physical Rehabilitation Occupational Therapist 225XP0019X OT3969 FL
Occupational Therapist 225X00000X OT3969 FL Primary

Addresses

Primary practice location

451 Kelsey Park Dr
Palm Beach Gardens, FL 33410-4515

Mailing address

451 Kelsey Park Dr
Palm Beach Gardens, FL 33410-4515
Phone (561) 202-7650

Other identifiers 1

IdentifierTypeStateIssuer
882093701MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201202000943 FL Practitioner - Occupational Therapist in Private Practice 9234540923 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT3969FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Fitness Solutions, LLC CurrentSince Oct 23, 2020 Accepting new patients
Developmental Therapy Associates Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1891831236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 KELSEY PARK DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104515",
            "telephone_number": "561-202-7650",
            "fax_number": "561-828-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 KELSEY PARK DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104515",
            "telephone_number": "561-202-7650",
            "fax_number": "561-828-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGMEYER",
        "first_name": "LINDA",
        "middle_name": "ANN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "FL",
            "license": "OT3969",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "FL",
            "license": "OT3969",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT3969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "882093701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.