Individual provider Active NPI

Anya Eden Boswell, P.T

  • Physical Therapist
  • Malvern, PA
National Provider Identifier
1053768606
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24225161 Issued in PA
Practice address
254 Lancaster Ave
Malvern, PA 19355-3087
Phone
(610) 644-7750
Fax
(610) 644-8290
NPI assigned
May 24, 2016
Last updated
Dec 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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 24225161 PA Primary

Addresses

Primary practice location

254 Lancaster Ave
Malvern, PA 19355-3087

Mailing address

254 Lancaster Ave
Malvern, PA 19355-3087
Phone (610) 644-7750

Other identifiers 1

IdentifierTypeStateIssuer
1031385290001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160801000145 PA Practitioner - Physical Therapist in Private Practice 0244523041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenixville Orthopedic Specialists LLCGroup PAC ID 8123271640, 11 clinicians

Practice addresses (Care Compare)

420 W Linfield Trappe Rd
Suite 2000
Limerick, PA 19468-4296
Phone (610) 525-1000

Merit-based Incentive Payment System (MIPS)

Final score
79.54 of 100Reported as group
Quality
79.07
Promoting interoperability
94
Improvement activities
40
Cost
57.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24225161PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenixville Orthopedic Specialists LLC CurrentSince May 23, 2016 Accepting new patients
Phoenixville Orthopedic Specialists LLC Physical Therapist CurrentSince May 23, 2016 Accepting new patients

Locations

420 W Linfield Trappe Rd
Ste 2000
Limerick, PA 19468
Phone (610) 495-0095

826 Main St
Ste 202
Phoenixville, PA 19460
Phone (610) 415-1600

420 W Linfield Trappe Rd
Royersford, PA 19468
Phone (610) 279-8686

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1053768606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 LANCASTER AVE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553087",
            "telephone_number": "610-644-7750",
            "fax_number": "610-644-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 LANCASTER AVE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553087",
            "telephone_number": "610-644-7750",
            "fax_number": "610-644-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSWELL",
        "first_name": "ANYA",
        "middle_name": "EDEN",
        "name_prefix": "Ms.",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "24225161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031385290001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.