Phyllis Borgardt & Assc., Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

332B00000X Issued in CA

Legal business name

PHYLLIS BORGARDT & ASSC., INC.

Doing business as

Mobility Therapy

Practice address

191 S Oak Park Blvd
Suite #5
Grover Beach, CA 93433-2265

Phone

(805) 489-9335

Fax

(805) 489-9327

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Phyllis L Borgardt, OTR-L

Title

President

Phone

(805) 489-9335

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mobility Therapy Doing business as

Locations

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952350043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 S OAK PARK BLVD",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332265",
            "telephone_number": "805-489-9335",
            "fax_number": "805-489-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 S OAK PARK BLVD",
            "address_2": "SUITE #5",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332265",
            "telephone_number": "805-489-9335",
            "fax_number": "805-489-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLLIS BORGARDT & ASSC., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BORGARDT",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-489-9335",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR-L"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "332B00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03230F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME MEDICAL DEVICE",
            "identifier": "43293",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobility Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniela Perez, DDS
• Destiny Perez
• Raul D Perez, DDS
• Jamie Peterson, RN
• Kathryn M Phelan, DOCTOR OF CHIROPRACT
• Playpath Therapy
• Naomie Plyler
• Natalie Plyler
• Patricia A Power, L.AC.
• Alan D Prince, OTR/L

• Durable Medical Equipment & Medical Supplies in Grover Beach, CA
• Providers in Grover Beach, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.