| Mary Joy Borton, PT | |
|
27477 Highway 64, Suite C, Cornell, WI 54732-5222 | |
| (715) 864-5394 | |
| (715) 239-0556 |
| Full Name | Mary Joy Borton |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 26 Years |
| Location | 27477 Highway 64, Cornell, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780716605 | NPI | - | NPPES |
| 40452000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 10210 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeland Physical Therapy L.l.c. | 6709919046 | 5 |
| Provider Name | Lakeland Physical Therapy L.l.c. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1639492085 PECOS PAC ID: 6709919046 Enrollment ID: O20100806000214 |
| Provider Name | Lakeland Home Healthcare |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1881265171 PECOS PAC ID: 7012308224 Enrollment ID: O20240418003117 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Joy Borton, PT 27477 Highway 64, Suite C, Cornell, WI 54732-5222 Ph: (715) 864-5394 | Mary Joy Borton, PT 27477 Highway 64, Suite C, Cornell, WI 54732-5222 Ph: (715) 864-5394 |
Ms. Alicia Hartung Duerst, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27477 Highway 64, Suite C, Cornell, WI 54732 Phone: 715-239-0555 Fax: 715-239-0556 | |
Mrs. Nelda Joy Thomas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27477 Highway 64, Cornell, WI 54732 Phone: 601-807-2855 | |
Lakeland Physical Therapy L.l.c. Physical Therapist Medicare: Medicare Enrolled Practice Location: 27477 State Highway 64, Suite C, Cornell, WI 54732 Phone: 715-239-0555 Fax: 715-239-0556 |