MS. TAMMY LYNNE BORUCH PT
NPI 1053624874
Physical Therapist in Polo, MO

Active since July 21, 2010Accepts Medicare Assignment
3750 SW STATE ROUTE T, POLO, MO 64671(816) 284-0928 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Tammy Lynne Boruch Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TAMMY LYNNE BORUCH PT (NPI 1053624874) is an individual physical therapist in Polo, Missouri, licensed in Missouri (01750) and active in the NPI registry since July 2010. She is a graduate of Other (1986).

NPPES Registry Identity

NPI1053624874
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMS. TAMMY LYNNE BORUCHCredential: PT
Location Address3750 SW STATE ROUTE TPolo, MO 64671-8713
Mailing Address3750 Sw State Route TPolo, MO 64671-8713 · (816) 284-0928
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateJuly 21, 2010
Last NPPES UpdateApril 12, 2023
NPPES CertifiedApril 12, 2023
NPI 1053624874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in MO · 01750
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
3750 SW STATE ROUTE T, Polo, MO 64671

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Tammy Lynne Boruch Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739554098
PECOS Enrollment IDI20230419000706

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64671 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tammy Boruch's NPI number?

The NPI number for Tammy Boruch is 1053624874. It was assigned to this individual provider in the NPPES registry on July 21, 2010.

Where is Tammy Boruch located?

Tammy Boruch practices at 3750 SW State Route T, Polo, MO 64671. The listed phone number is (816) 284-0928.

What is Tammy Boruch's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Tammy Boruch enrolled in Medicare?

Yes. Tammy Boruch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tammy Boruch was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.