Individual provider Active NPI

Kelly Gasper

  • Physical Therapist
  • Richboro, PA
National Provider Identifier
1073150397
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT026037 Issued in PA
Practice address
44 Galloway Rd
Richboro, PA 18954-1206
Phone
(267) 394-3604
NPI assigned
Dec 5, 2019
Last updated
Dec 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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 PT026037 PA Primary

Addresses

Primary practice location

44 Galloway Rd
Richboro, PA 18954-1206

Mailing address

44 Galloway Rd
Richboro, PA 18954-1206
Phone (267) 394-3604

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200225000381 PA Practitioner - Physical Therapist in Private Practice 4486081866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

213 W St Rd
Feasterville Trevose, PA 19053-4116
Phone (215) 355-2969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT026037PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joe Hand Wellness LLC Physical Therapist CurrentSince Mar 22, 2022 Accepting new patients
Bucks Physical & Sports Rehabilitation LLC Physical Therapist CurrentSince Jan 11, 2020 Accepting new patients
Bucks Physical & Sports Rehabilitation Physical Therapist PastSince Jan 11, 2020 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

170 Pheasant Run
Fl 2
Newtown, PA 18940
Phone (215) 579-0777

100 Almshouse Rd
Richboro, PA 18954
Phone (215) 357-2000

213 W Street Rd
Trevose, PA 19053
Phone (215) 355-2969

Organizations & group practices 3

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": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1073150397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 GALLOWAY RD",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541206",
            "telephone_number": "267-394-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 GALLOWAY RD",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541206",
            "telephone_number": "267-394-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASPER",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.