Individual provider Active NPI

Kristen Folgosa Forgione, DPT

  • Physical Therapist
  • Boynton Beach, FL
National Provider Identifier
1497903629
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24151 Issued in FL
Practice address
3639 W Woolbright Rd
Boynton Beach, FL 33436-7244
Phone
(561) 404-0203
Fax
(561) 404-0205
NPI assigned
Aug 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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 PT24151 FL Primary

Addresses

Primary practice location

3639 W Woolbright Rd
Boynton Beach, FL 33436-7244

Mailing address

3639 W Woolbright Rd
Boynton Beach, FL 33436-7244
Phone (561) 404-0203

Other practice location 1

906 S Federal Hwy Ste B
Boynton Beach, FL 33435-5671
Phone (561) 738-0805

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081023000533 FL Practitioner - Physical Therapist in Private Practice 7911065743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Physical Therapy LLC 7 clinicians

Practice addresses (Care Compare)

906 S Federal Hwy
Suite B
Boynton Beach, FL 33435-5671
Phone (561) 738-0805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Advantage Physical Therapy LLC Physical Therapist CurrentSince Jun 1, 2020 Accepting new patients
One to One Physical Therapy, Inc. Physical Therapist PastSince Jul 8, 2019 Accepting new patients

Locations

906 S Federal Hwy
Ste B
Boynton Beach, FL 33435
Phone (561) 738-0805

3639 W Woolbright Rd
Boynton Beach, FL 33436
Phone (561) 404-0203

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1497903629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3639 W WOOLBRIGHT RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367244",
            "telephone_number": "561-404-0203",
            "fax_number": "561-404-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3639 W WOOLBRIGHT RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367244",
            "telephone_number": "561-404-0203",
            "fax_number": "561-404-0205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "906 S Federal Hwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334355671",
            "country_code": "US",
            "telephone_number": "561-738-0805",
            "fax_number": "561-738-0815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORGIONE",
        "first_name": "KRISTEN",
        "middle_name": "FOLGOSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.