Active NPI
Kelly Jeanne Giordano, PT PHYS THERAPIST
- Physical Therapist
- Munster, IN
National Provider Identifier
1104929736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05001729A
- Practice address
- 759 45TH Ave
Suite 202
Munster, IN 46321-2938 - Phone
- (219) 836-0193
- Fax
- (219) 836-2452
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05001729A | IN | Primary |
Addresses
Primary practice location
759 45TH Ave
Suite 202
Munster, IN 46321-2938
Mailing address
1040 Sierra Dr
Ste 400
Greenwood, IN 46143-7241
Phone (317) 865-8540
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000301026 | Other | IN | BCBS OF IN |
| 200916810 | Medicaid | IN | |
| 90000585 | Other | IL | BCBS OF IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9445 Calumet Ave
Munster, IN 46321-2811
Phone (219) 836-1060
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.78 of 100
- Quality
- 53.01
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 60.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Point Orthopedics LLC | Current | Accepting new patients | |
| Franciscan Physician Network | Past | Accepting new patients | |
| Community Care Network Inc | Past | Accepting new patients |
Locations
9445 Calumet Ave
Munster, IN 46321
Phone (219) 836-1060
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 and National Provider Directory roles.
-
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- Munster, IN
- NPI 1801378088
-
- Family Medicine Physician
- St John, IN
- NPI 1457610487
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551744000000",
"number": "1104929736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 SIERRA DR",
"address_2": "STE 400",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461437241",
"telephone_number": "317-865-8540",
"fax_number": "317-865-8317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 45TH AVE",
"address_2": "SUITE 202",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212938",
"telephone_number": "219-836-0193",
"fax_number": "219-836-2452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIORDANO",
"first_name": "KELLY",
"middle_name": "JEANNE",
"name_prefix": "Mrs.",
"credential": "PT PHYS THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2019-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05001729A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IN",
"identifier": "000000301026",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200916810",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IL",
"identifier": "90000585",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.