Individual provider Active NPI

Kelly Gerlach, DPT

  • Physical Therapist
  • Jupiter, FL
National Provider Identifier
1013267582
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27711 Issued in FL
Practice address
210 Jupiter Lakes Blvd Ste 5101
Jupiter, FL 33458-7192
Phone
(561) 741-1876
Fax
(888) 721-1997
NPI assigned
Sep 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 27711 FL Primary

Addresses

Primary practice location

210 Jupiter Lakes Blvd Ste 5101
Jupiter, FL 33458-7192

Mailing address

210 Jupiter Lakes Blvd
Suite 5101
Jupiter, FL 33458
Phone (561) 741-1876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121001000464 FL Practitioner - Physical Therapist in Private Practice 2466601737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Nova Southeastern Univ College of Dental Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Therapeutics IncGroup PAC ID 0749188498, 5 clinicians

Practice addresses (Care Compare)

210 Jupiter Lakes Blvd
Suite 5101
Jupiter, FL 33458-7192
Phone (561) 741-1876

Merit-based Incentive Payment System (MIPS)

Final score
86.4 of 100Reported as group
Quality
86.95
Improvement activities
40
Cost
72.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27711FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Therapeutics Inc Physical Therapist CurrentSince Aug 30, 2012 Accepting new patients

Locations

210 Jupiter Lakes Blvd
Ste 5101
Jupiter, FL 33458
Phone (561) 741-1876

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1013267582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD",
            "address_2": "SUITE 5101",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "561-741-1876",
            "fax_number": "888-721-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD STE 5101",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587192",
            "telephone_number": "561-741-1876",
            "fax_number": "888-721-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERLACH",
        "first_name": "KELLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "27711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.