Whitley Faith Bornhauser, PT
Physical Therapist in Grayson, KY. Individual provider (NPI-1).
NPI number1164047163
StatusActive
Last updated in NPPESJun 15, 2020
Details
- NPI
- 1164047163
- Entity type
- Individual (NPI-1)
- Name
- Whitley Faith Bornhauser
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2020
- Certification date
- Jun 15, 2020
- Last updated
- Jun 15, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 007966 | KY | Yes |
Practice location
144 S Carol Malone BlvdGrayson, KY 41143-1352
Phone 606-474-7649
Mailing address
144 S Carol Malone BlvdGrayson, KY 41143-1352
Phone 606-474-7649
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 13 Physical Therapist providers in Grayson · All 317 providers in Grayson
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