Individual provider Active NPI

David Borboa, DPT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1922039122
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5840 Issued in AZ
Practice address
4570 N 1St Ave
Suite 150
Tucson, AZ 85718-8600
Phone
(520) 321-2476
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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 5840 AZ Primary

Addresses

Primary practice location

4570 N 1St Ave
Suite 150
Tucson, AZ 85718-8600

Mailing address

PO Box 43085
Tucson, AZ 85733-3085
Phone (520) 321-2476

Other identifiers 1

IdentifierTypeStateIssuer
819203MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130617000316 AZ Practitioner - Physical Therapist in Private Practice 1658510003 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
Foothills Sports Medicine and Rehabilitation LLCGroup PAC ID 2668457979, 172 clinicians

Practice addresses (Care Compare)

15410 S Mountain Pkwy
Suite 112
Phoenix, AZ 85044-6691
Phone (480) 940-8299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5840AZMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC CurrentSince Dec 1, 2022 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist Past Accepting new patients
Orthomed LLC Physical Therapist Past Accepting new patients
Orthomed LLC Physical Therapist Past Accepting new patients

Locations

6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909

15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822

1010 E Palmdale St
Ste 130
Tucson, AZ 85714
Phone (520) 623-5551

3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204

10550 N La Canada Dr
Ste 160
Tucson, AZ 85737
Phone (520) 547-2476

8770 N Thornydale Rd
Ste 100
Tucson, AZ 85742
Phone (520) 742-7107

1657 W Grant Rd
Tucson, AZ 85745
Phone (520) 670-9558

1680 W Irvington Rd
Tucson, AZ 85746

Organizations & group practices 5

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1922039122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43085",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333085",
            "telephone_number": "520-321-2476",
            "fax_number": "520-321-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 N 1ST AVE",
            "address_2": "SUITE 150",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857188600",
            "telephone_number": "520-321-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORBOA",
        "first_name": "DAVID",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "819203",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.