MS. TAMMY LYNNE BORUCH PT
NPI 1053624874
Physical Therapist in Polo, MO
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
Specialties & Licenses
- 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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Tammy Boruch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Festus, MO 63028
- Reassigned Medicare billing, Missouri enrollment
- 21 clinicians in this Medicare group
Lake Charles, LA 70601
- Reassigned Medicare billing, Missouri enrollment
- 30 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organizations bill Medicare for Tammy Boruch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tammy Boruch reassigns Medicare benefits to 2 organizations: Powerback Rehabilitation LLC (Festus, MO) and Synergy Care Southeast, LLC (Lake Charles, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tammy Boruch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.