Active NPI
Rosalie Madrelino De Borja, PT
- Physical Therapist
- Osborne, KS
National Provider Identifier
1972827319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1104048
- Practice address
- 312 N 3Rd St
Osborne, KS 67473-1814 - Phone
- (443) 310-7923
- NPI assigned
- Mar 14, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1104048 | KS | Primary |
| Physical Therapist | 225100000X | 25212 | FL |
Addresses
Primary practice location
312 N 3Rd St
Osborne, KS 67473-1814
Mailing address
312 N 3Rd St
Osborne, KS 67473-1814
Phone (443) 310-7923
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25212 | FL | MD | Physical Therapist |
| 1104048 | KS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268524800000",
"number": "1972827319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 N 3RD ST",
"city": "OSBORNE",
"state": "KS",
"postal_code": "674731814",
"telephone_number": "443-310-7923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 N 3RD ST",
"city": "OSBORNE",
"state": "KS",
"postal_code": "674731814",
"telephone_number": "443-310-7923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE BORJA",
"first_name": "ROSALIE",
"middle_name": "MADRELINO",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-14",
"last_updated": "2010-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "1104048",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "25212",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Osborne, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.