Individual provider Active NPI

Kathleen Kay Borawski, OTR

  • Hand Occupational Therapist
  • Peoria, AZ
National Provider Identifier
1962540443
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
3751 Issued in AZ
Practice address
6760 W Thunderbird Rd Ste E110
Peoria, AZ 85381-5027
Phone
(602) 648-5444
Fax
(602) 772-3801
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 3751 AZ Primary

Addresses

Primary practice location

6760 W Thunderbird Rd Ste E110
Peoria, AZ 85381-5027

Mailing address

1951 W Davis Rd
Phoenix, AZ 85023-7205
Phone (602) 354-4120

Other identifiers 1

IdentifierTypeStateIssuer
307011MedicaidAZ

Other names 1

  • Kathy Mooney Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080404000241 AZ Practitioner - Occupational Therapist in Private Practice 0547244774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Specialists of North America PLLCGroup PAC ID 7719014505, 310 clinicians

Practice addresses (Care Compare)

5620 E Bell Rd
Scottsdale, AZ 85254-5950
Phone (602) 385-2115

6760 W Thunderbird Rd
Suite E110
Peoria, AZ 85381-5027
Phone (623) 846-7614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3751AZMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Specialists of North America, PLLC CurrentSince Apr 22, 2019 Accepting new patients
Orthopedic Specialists of North America, PLLC Current Accepting new patients

Locations

10450 W McDowell Rd
Ste 102
Avondale, AZ 85392
Phone (623) 846-7614

1675 E Melrose St
Ste 101103
Gilbert, AZ 85297
Phone (602) 631-3161

18555 N 79th Ave
Ste E101
Glendale, AZ 85308
Phone (602) 631-3161

20325 N 51st Ave
Ste 150
Glendale, AZ 85308
Phone (602) 795-6300

21465 N 78th Ave
Ste 170
Peoria, AZ 85382
Phone (602) 380-6807

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1962540443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 W DAVIS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850237205",
            "telephone_number": "602-354-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6760 W THUNDERBIRD RD STE E110",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815027",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORAWSKI",
        "first_name": "KATHLEEN",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "AZ",
            "license": "3751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307011",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "MOONEY",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.