THEA MAE BORDENAVE-SANDE D.O.
NPI 1811279458
Neuromusculoskeletal Medicine & OMM in Saratoga Springs, NY

Q: What is Thea Bordenave-sande's NPI number?

The NPI number for Thea Bordenave-sande is 1811279458. It was assigned to this individual provider in the NPPES registry on September 9, 2011.

Q: What is Thea Bordenave-sande's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Q: Is Thea Bordenave-sande enrolled in Medicare?

No. Thea Bordenave-sande has opted out of Medicare through February 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since September 09, 2011Opted out of Medicare · through Feb 11, 2028

77 VAN DAM ST, SUITE 12, SARATOGA SPRINGS, NY 12866(518) 587-0801(518) 587-0849 Get Directions Write a Review

NPPES record last updated: September 9, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Thea Mae Bordenave-sande D.o. NPPES

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

THEA MAE BORDENAVE-SANDE D.O. (NPI 1811279458) is an individual neuromusculoskeletal medicine & omm provider in Saratoga Springs, New York, licensed in New York (60-270606) and active in the NPI registry since September 2011. She has opted out of Medicare through February 11, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1811279458

Entity TypeIndividualFemale

Primary Taxonomy204D00000X

Provider Legal NameTHEA MAE BORDENAVE-SANDECredential: D.O.

Location Address77 VAN DAM ST, SUITE 12Saratoga Springs, NY 12866-2023

Mailing Address77 Van Dam St, Suite 12Saratoga Springs, NY 12866-2023 · (518) 587-0801 · Fax (518) 587-0849

Phone(518) 587-0801

Fax(518) 587-0849

Sole ProprietorYes

Enumeration DateSeptember 9, 2011

Last NPPES UpdateSeptember 9, 2013

✔ NPI 1811279458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians

Taxonomy Code204D00000X

License✔ Licensed in NY · 60-270606

Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

77 VAN DAM ST, Saratoga Springs, NY 12866

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Thea Mae Bordenave-sande D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 11, 2016 through February 11, 2028.

Opt-Out Effective DateFebruary 11, 2016

Opt-Out In Effect ThroughFebruary 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SENIOR SOLUTIONS WORLDWIDE, INC.

Home Health

77 VAN DAM ST, SUITE 4
SARATOGA SPRINGS, NY 12866

Saratoga County (518) 584-1200

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 Thea Bordenave-sande's NPI number?

The NPI number for Thea Bordenave-sande is 1811279458. It was assigned to this individual provider in the NPPES registry on September 9, 2011.

Where is Thea Bordenave-sande located?

Thea Bordenave-sande practices at 77 Van Dam St Suite 12, Saratoga Springs, NY 12866. The listed phone number is (518) 587-0801.

What is Thea Bordenave-sande's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Thea Bordenave-sande enrolled in Medicare?

No. Thea Bordenave-sande has opted out of Medicare through February 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Thea Bordenave-sande was last updated on September 9, 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.