Provider Demographics
NPI:1174299473
Name:BORYS, ALEXANDER KAROL (PT, DPT)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:KAROL
Last Name:BORYS
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41125 N DAISY MOUNTAIN DR STE 121
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-4964
Mailing Address - Country:US
Mailing Address - Phone:480-265-2132
Mailing Address - Fax:480-264-7575
Practice Address - Street 1:14202 N SCOTTSDALE RD STE 169
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-4081
Practice Address - Country:US
Practice Address - Phone:480-265-2122
Practice Address - Fax:480-264-7575
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDPT-73122251X0800X
AZLPT-31984225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic