KELLY POTTER BORGMAN (NPI# 1750807723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750807723 |
| Entity Type | Individual |
| Full Name | KELLY POTTER BORGMAN |
| Credential | PT |
| Practice Address |
4747 N Holland Sylvania Rd Sylvania OH 43560-2116 |
| Mailing Address |
2425 Wimbledon Park Blvd Toledo OH 43617-2237 |
| Practice Telephone | 4198854588 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
003449 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063759678 | Kelly Borgman | Optometrist | 3703 Taylorsville Rd, Sutie 120, Louisville, KY 40220-1354 | 2013-01-16 |
| Street Address |
4747 N HOLLAND SYLVANIA RD |
| City | SYLVANIA |
| State | OH |
| Zip Code | 43560-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225305584 | Martin Glowski | Occupational Therapy Assistant | 4747 N Holland Sylvania Rd, Sylvania, OH 43560-2116 | 2011-11-30 |
| 1700499951 | Laura L Ford | Occupational Therapist | 4747 N Holland Sylvania Rd, Sylvania, OH 43560-2116 | 2020-08-27 |
| 1326685967 | Susan White | Speech-Language Pathologist | 4747 N Holland Sylvania Rd, Sylvania, OH 43560-2116 | 2019-12-02 |
| 1013499011 | Katherine Prots | Speech-Language Pathologist | 4747 N Holland Sylvania Rd, Sylvania, OH 43560-2116 | 2018-09-05 |
| 1801386909 | Gail A Masse | Occupational Therapist | 4747 N Holland Sylvania Rd, Sylvania, OH 43560-2116 | 2018-05-14 |
| 1154811594 | Julie Ann Luther | Speech-Language Pathologist | 4747 N Holland Sylvania Rd, Sylvania, OH 43560-2116 | 2018-05-11 |
| 1477062206 | Melissa R Burke | Speech-Language Pathologist | 4747 N Holland Sylvania Rd, Sylvania, OH 43560-2116 | 2017-09-25 |
| 1437668654 | Claire Marie Barbao | Speech-Language Pathologist | 4747 N Holland Sylvania Rd, Sylvania, OH 43560-2116 | 2017-09-20 |
| 1073030177 | Susan M Schnapp | Occupational Therapist | 4747 N Holland Sylvania Rd, Sylvania, OH 43560-2116 | 2017-08-29 |
| 1235656497 | Melanie Ann Stutzenstein | Occupational Therapist | 4747 N Holland Sylvania Rd, Sylvania, OH 43560-2116 | 2017-08-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332732 | Jonelyn Hutchinson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5628 Fox Hollow Ct, Sylvania, OH 43560 | 2020-10-07 |
| 1285190611 | Karen Marie Mccartney | Occupational Therapy Assistant | Charter of Oak, 6805 Sylvania, Sylvainia, OH 43560 | 2019-02-11 |
| 1063936136 | Christina Cousino | Family Medicine | 7228 Ridgeland Rd, Sylvania, OH 43560 | 2017-08-01 |
| 1053858159 | Scott Campbell | Counselor | 5808 Monroe St Suite A2, Sylvania, OH 43560 | 2017-01-26 |
| 1932658549 | Trilogy Healthcare of Sylvania LLC | Skilled Nursing Facility | 5351 Mitchaw Road, Sylvania, OH 43560 | 2016-09-23 |
| 1730546300 | Ashley Lynn Sendelbach | Speech-Language Pathologist | 4747 N. Holland Sylvania Rd., Sylvania, OH 43560 | 2016-01-27 |
| 1881078533 | Khader Mustafa | Internal Medicine | 5700 Monroe St Unit 202, Sylvania, OH 43560 | 2015-07-13 |
| 1013391903 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 2631 Davidson Drive, Toledo, OH 43560 | 2015-07-10 |
| 1104212596 | Emily Elyse Miller | Speech-Language Pathologist | 4121 King Road, Maumee, OH 43560 | 2015-04-13 |
| 1750706404 | Victoria Davis | Speech-Language Pathologist | 7962 Millford, Sylvania, OH 43560 | 2014-03-04 |
| Find all providers in zip 43560 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158279 | Jennifer Elliott | Physical Therapist | 1205 King Rd, Toledo, OH 43617-2013 | 2019-01-17 |
| 1679090427 | Courtney M Goldsbury | Physical Therapist | 3430 Burnet Ave # Mlc4007, Cincinnati, OH 45229-2833 | 2017-08-23 |
| 1760910459 | Eileen Marie Butler | Physical Therapist | 200 East Wilson Bridge, Worthington, OH 43085 | 2017-05-25 |
| 1487189635 | Alexandra Talbott-welch | Physical Therapist | 12618 Mount Overlook Ave, Cleveland, OH 44120-1042 | 2017-04-25 |
| 1720537889 | Suzanne P Mcdonough | Physical Therapist | 95 Valley Brook Blvd, Hinckley, OH 44233-9615 | 2016-09-29 |
| 1184173874 | Hillary Lawrence | Physical Therapist | 428 33rd St Nw, Canton, OH 44709-3014 | 2016-09-23 |
| 1881140069 | Andrea Jean Bradley | Physical Therapist | 2400 Mcvey Ct, Columbus, OH 43235-2835 | 2016-08-29 |
| 1013463512 | Gina Menke | Physical Therapist | 27 St Lawrence Dr Ste 104th, Tiffin, OH 44883-8312 | 2016-08-25 |
| 1003264490 | Erin Ashley Butler | Physical Therapist | 9560 Children Dr, Mason, OH 45040-9362 | 2016-05-26 |
| 1154779601 | Jenna Moffo | Physical Therapist | 2161 Bolser Dr, Cincinnati, OH 45215-3933 | 2016-05-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.