Provider Demographics
NPI:1891831236
Name:BORGMEYER, LINDA ANN (OTR)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:ANN
Last Name:BORGMEYER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 KELSEY PARK DR
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4515
Mailing Address - Country:US
Mailing Address - Phone:561-202-7650
Mailing Address - Fax:561-828-7804
Practice Address - Street 1:451 KELSEY PARK DR
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4515
Practice Address - Country:US
Practice Address - Phone:561-202-7650
Practice Address - Fax:561-828-7804
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT3969225XG0600X, 225XP0019X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL882093701Medicaid