Individual provider Active NPI

Andrea Boyer, DPT

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1104265487
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14219 Issued in NC
Practice address
4060 Sandshell Dr
Fort Worth, TX 76137-2422
Phone
(817) 306-9777
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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 14219 NC Primary

Addresses

Primary practice location

4060 Sandshell Dr
Fort Worth, TX 76137-2422

Mailing address

3604 Meares Dr Apt 320
Fort Worth, TX 76137-1483

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230330001643 OH Practitioner - Physical Therapist in Private Practice 0345637898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

1157 Columbus Pike
Delaware, OH 43015-2713
Phone (740) 513-4595

120 N Miller Dr
Suite B
Sunbury, OH 43074-7630
Phone (740) 936-4944

1370 Cherry Bottom Rd
Gahanna, OH 43230-6771
Phone (614) 498-2240

1505 Granville Rd
Newark, OH 43055-1582
Phone (740) 321-1021

1797 Hill Rd N
Suite 101
Pickerington, OH 43147-7997
Phone (614) 494-0140

2377 Hilliard Rome Rd
Hilliard, OH 43026-8194
Phone (614) 345-0370

4925 Jackman Rd
Suite 34
Toledo, OH 43613-3557
Phone (567) 318-1000

5060 Bradenton Ave
Suite C
Dublin, OH 43017-3511
Phone (614) 961-4966

7344 Fodor Rd
New Albany, OH 43054-8336
Phone (614) 855-2570

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1104265487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 MEARES DR APT 320",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 SANDSHELL DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761372422",
            "telephone_number": "817-306-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "ANDREA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "14219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.