STACIE LYNN BORROUSCH (NPI# 1700210846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700210846 |
Entity Type | Individual |
Full Name | STACIE LYNN BORROUSCH |
Credential | MSPT |
Practice Address |
1494 Laurel Oak Dr Avon IN 46123-9480 |
Practice Telephone | 3174596784 |
Mailing Telephone | 3174596784 |
Enumeration Date | 2013-08-26 |
Last Update Date | 2013-08-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
05008473A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1494 LAUREL OAK DR |
City | AVON |
State | IN |
Zip Code | 46123-9480 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
Find all providers in zip 46123 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790942530 | Alescia C Ford-lanza | Physical Therapist | 37 Oak Ridge Dr, Avon, CT 06001-2213 | 2008-05-20 |
1750413761 | Lenore L. Delamarter | Physical Therapist | 6310 Springwater Ct, Avon, IN 46123-7264 | 2007-03-12 |
1417336025 | Kelly Proulx | Physical Therapist | 49 W Main St, Avon, CT 06001-3717 | 2015-05-28 |
1831376854 | Cynthia Ann Dougher | Physical Therapist | 35840 Chester Rd, Suite F, Avon, OH 44011-1240 | 2008-01-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437769437 | Jenelle Lynn Sternasty | Physical Therapist | 5823 Lakeland Dr, Indianapolis, IN 46220-4167 | 2020-08-04 |
1194217851 | Janelle Mary Snyder | Physical Therapist | 7910 E Washington St Ste 150, Indianapolis, IN 46219-5563 | 2018-05-30 |
1568905354 | Jaimini Khatri | Physical Therapist | 7123 Windsor Lakes Pl, Indianapolis, IN 46237-8313 | 2016-11-28 |
1740699008 | Jennifer Paige Canter | Physical Therapist | 5517 Raintree Rdg, Jeffersonville, IN 47130-7732 | 2014-08-11 |
1568887966 | Jessica Gibbs Hinkle | Physical Therapist | 101 2nd Ave Sw, Apt 2a, Carmel, IN 46032-2073 | 2014-02-22 |
1720425796 | Kellie Robinson | Physical Therapist | 112 Holt Dr., Madison, IN 47250 | 2013-05-30 |
1295092831 | Carrie Anne Patterson | Physical Therapist | 418 S Ruston Ave, Evansville, IN 47714-1634 | 2012-04-20 |
1720370794 | Pediatric Links,llc | Physical Therapist | 7317 W Jefferson Blvd, Fort Wayne, IN 46804-6237 | 2011-05-10 |
1477843894 | Megan Marie Hazelrigg | Physical Therapist | 2090 Cicero Rd, Noblesville, IN 46060-1097 | 2011-04-19 |
1891009981 | Krysia A Arkenau | Physical Therapist | 11050 Presbyterian Dr, Indianapolis, IN 46236-2982 | 2010-07-30 |
Find all providers with the same taxonomy |
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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.