Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek Paul Bornhorst

Individual provider Physical Therapist · NPI 1447716980

Derek Paul Bornhorst is a Physical Therapist in Private Practice in Anderson, South Carolina. Qualified in 2016, 10 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Kentucky, Ohio and South Carolina.

Years since qualifying
10
Licensed in
KY, OH, SC
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

2203 Marchbanks Ave
Anderson, SC 29621-2247
Phone: (937) 726-7324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11102 (SC)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence PT016629 (OH)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence 007331 (KY)

Record details

NPI number1447716980
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 20, 2019
Last updated in NPPESJanuary 3, 2024
Certification dateApril 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Anderson