Kelly Susan Fortner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT019678 Issued in PA

Practice address

2895 Hamilton Blvd
Suite 105
Allentown, PA 18104-6172

Phone

(610) 841-3555

Fax

(610) 841-3558

NPI assigned

Mar 19, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kelly Susan Dickey Former name

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

75.34 of 100Reported as group

Quality

71.58

Improvement activities

40

Cost

69.89

Merit-based Incentive Payment System (MIPS)

Final score

82.19 of 100Reported as group

Quality

83.93

Improvement activities

40

Cost

70.09

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Konlian,O'Neill & Associates, P.a.

  • Rehabilitation Practitioner
  • Lewes, DE
  • NPI 1992738439

  Physical Therapist

  Medicare reassignment NPD
• Syracuse Physical Therapy Partners

  • Rehabilitation Practitioner
  • Millville, DE
  • NPI 1417160490

  Physical Therapist

  Medicare reassignment NPD
• Konlian,O'Neill & Associates, P.a.

  • Physical Therapist
  • Easton, MD
  • NPI 1609809151
  NPD
• Syracuse Physical Therapy Partners

  • Rehabilitation Practitioner
  • Seaford, DE
  • NPI 1558103929
  NPD

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1053552158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 S SALISBURY BLVD",
            "address_2": "STE 1B",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015458",
            "telephone_number": "410-831-3226",
            "fax_number": "410-677-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2895 HAMILTON BLVD",
            "address_2": "SUITE 105",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046172",
            "telephone_number": "610-841-3555",
            "fax_number": "610-841-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTNER",
        "first_name": "KELLY",
        "middle_name": "SUSAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-19",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019678",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01309100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "DICKEY",
            "middle_name": "SUSAN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen Perry Fooskas, MD
• Louise Elizabeth Foote, LSW, CAADC, CCPG
• Annakaye Kimberly Foreste, RN
• Ari Reuben Forgosh, D.M.D
• Angela V. Formaz, MS, ATC
• Forward Thinking Fitness LLC
• Brian Foster, PHARMD
• Hailie Foster, PA-C
• Kathryn Ann Foster
• Tiara Jemet Foster, LPC

• Physical Therapist in Allentown, PA
• Providers in Allentown, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.