Kelly Bordas

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT29001 Issued in FL

Practice address

1337 S International Pkwy
Ste 1321
Lake Mary, FL 32746-1402

Phone

(407) 833-0802

NPI assigned

Feb 6, 2014

Last updated

May 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

83.26 of 100Reported as group

Quality

86.58

Improvement activities

40

Cost

68.79

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Balanced Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Oviedo, FL
  • NPI 1699557462
  NPD Authorized official

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1215351572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 S INTERNATIONAL PKWY",
            "address_2": "STE 1321",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461402",
            "telephone_number": "407-833-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 S INTERNATIONAL PKWY",
            "address_2": "STE 1321",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461402",
            "telephone_number": "407-833-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDAS",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-06",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT29001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quinzola Bonner
• Rachel Jakab Bonnett, APRN
• Jessica Ashley Bonvenca
• Giana P Booth
• Samip Jayantilal Borad, M.B.B.S., MD, MHA
• Boss Wellness, LLC
• Shantala Marie Boss, LMHC
• Samantha Bostelman
• Julie Bouchie
• Loryn Boudoin

• Physical Therapist in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.