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STACIE LYNN BORROUSCH MSPT
NPI 1700210846
Physical Therapist - Pediatrics in Avon, IN

Active since August 26, 2013
1494 LAUREL OAK DR, AVON, IN 46123(317) 459-6784 Get Directions Write a Review

NPPES record last updated: August 26, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacie Lynn Borrousch Mspt NPPES

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

STACIE LYNN BORROUSCH MSPT (NPI 1700210846) is an individual pediatrics provider in Avon, Indiana, licensed in Indiana (05008473A) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1700210846
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameSTACIE LYNN BORROUSCHCredential: MSPT
Location Address1494 LAUREL OAK DRAvon, IN 46123-9480
Mailing Address1494 Laurel Oak DrAvon, IN 46123-9480 · (317) 459-6784
Phone(317) 459-6784
Sole ProprietorYes
Enumeration DateAugust 26, 2013
✔ NPI 1700210846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in IN · 05008473A
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
1494 LAUREL OAK DR, Avon, IN 46123
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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 Stacie Borrousch's NPI number?

The NPI number for Stacie Borrousch is 1700210846. It was assigned to this individual provider in the NPPES registry on August 26, 2013.

Where is Stacie Borrousch located?

Stacie Borrousch practices at 1494 Laurel Oak Dr, Avon, IN 46123. The listed phone number is (317) 459-6784.

What is Stacie Borrousch's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Stacie Borrousch was last updated on August 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.