NICHOLAS ROBERT BORG (DPT) – Physical Therapist, NPI 1407611320

NICHOLAS ROBERT BORG (DPT) is a healthcare provider. based in Livonia, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 5501303250 (MI). The NPI Number for NICHOLAS ROBERT BORG (DPT) is 1407611320

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS ROBERT BORG (DPT)
NPI
1407611320
Phone
(734) 462-3240
Address
37250 5 MILE RD UNIT D1
Enumeration Date
20 February 2024
Last Update Date
20 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2483352977
Graduation Year
2023 (3 years ago)
PAC ID
4385081660
Group Practice PAC ID
1153343504
Professional Enrollment ID
I20240321003496
Address ID
MI483025036BL44038AVEX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for NICHOLAS ROBERT BORG (DPT)

  • 37250 5 MILE RD UNIT D1

    LIVONIA, MI 481541848

    Phone: (734) 462-3240

    Fax: (734) 462-3831

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240321003496IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48154)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153343504View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physician AssistantMI
Physician AssistantMI
Physical Therapist In Private PracticeMI
Physician AssistantMI
Orthopedic SurgeryCO
Physician AssistantMI
Physician AssistantMI
Orthopedic SurgeryMI
Physician AssistantMI

Reviews

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Frequently asked questions

Can I cross-check NICHOLAS ROBERT BORG (DPT) using NPI 1407611320?
NPI 1407611320 belongs to NICHOLAS ROBERT BORG (DPT); compare other details if you need extra assurance.
Is NICHOLAS ROBERT BORG (DPT) shown as active in public data?
Registry records indicate NICHOLAS ROBERT BORG (DPT) maintains an active NPI.
How would a patient describe NICHOLAS ROBERT BORG (DPT)'s focus?
For NICHOLAS ROBERT BORG (DPT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Is NICHOLAS ROBERT BORG (DPT) located near Livonia?
NICHOLAS ROBERT BORG (DPT) currently maps to Livonia, Michigan in this extract.
Does NICHOLAS ROBERT BORG (DPT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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