Subject Numbers Regarding Health Provider Authorizations

Authorization No. PT036600-5W

June 20, 2023

Please be advised that Physical Therapist (PT) Anthony Michael Boergers has resigned his authorization to treat injured workers in the New York State workers' compensation system effective June 16, 2023. PT Boergers' last known practice address is:

716 Physical Therapy, PLLC
4931 Lake Shore Road, Suite 300
Hamburg, New York 14075

PT Boergers is prohibited from rendering treatment and care to injured workers effective June 16, 2023.

Any questions regarding the authorized lists should be referred to the Medical Director's Office at 1 (800) 781-2362.