Patricia L Bordelon, P.T., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1106680 Issued in TX

Practice address

526 Elmhurst Ave
San Antonio, TX 78209-6612

Phone

(210) 386-1007

Fax

(210) 314-7376

NPI assigned

Apr 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

85.56 of 100Reported as group

Quality

89.48

Improvement activities

40

Cost

71.16

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ideal Physical Therapy of Texas LLC

  • Physical Therapist
  • Plano, TX
  • NPI 1538573746
  NPD
• Ideal Physical Therapy of Texas LLC

  • Durable Medical Equipment & Medical Supplies
  • Murphy, TX
  • NPI 1902773161
  NPD

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1962622282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 ELMHURST AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782096612",
            "telephone_number": "210-386-1007",
            "fax_number": "210-314-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 ELMHURST AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782096612",
            "telephone_number": "210-386-1007",
            "fax_number": "210-314-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDELON",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "credential": "P.T., DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1106680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Bradford Boothby, M.D.
• Wilbur Fisk Boothby V, D.P.M.
• Mark Boozer, M. ED., BCBA
• Gary A Borawski, OD
• Joseline F Borchardt, CPNP
• Jack C Borders Jr., MD
• Dennis Bordes, MD
• Melissa Ann Bordes, FNP
• Paola Borelo, RDN, LD
• Christina Marie Boren

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.