Individual provider Active NPI

Kerri Petzar, DPT, PT

  • Physical Therapist
  • Folsom, PA
National Provider Identifier
1558770255
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT023877 Issued in PA
Practice address
501 Macdade Blvd
2ND Floor
Folsom, PA 19033-3203
Phone
(610) 586-7000
Fax
(610) 586-7004
NPI assigned
Aug 6, 2014
Last updated
Nov 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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 PT023877 PA Primary

Addresses

Primary practice location

501 Macdade Blvd
2ND Floor
Folsom, PA 19033-3203

Mailing address

501 Macdade Blvd
2ND Floor
Folsom, PA 19033-3203
Phone (610) 586-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151216002526 PA Practitioner - Physical Therapist in Private Practice 4981905999 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

Practice addresses (Care Compare)

8015 Frankford Ave
Philadelphia, PA 19136-2736
Phone (215) 338-8900

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT023877PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Jun 3, 2024 Accepting new patients
Physical Therapy and Wellness Institute LLC Physical Therapist CurrentSince Jun 3, 2024 Accepting new patients

Locations

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

400 Horsham Rd
Ste 105
Horsham, PA 19044
Phone (215) 442-9060

575 Horsham Rd
Unit B16
Horsham, PA 19044
Phone (215) 364-5893

730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871

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": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1558770255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MACDADE BLVD",
            "address_2": "2ND FLOOR",
            "city": "FOLSOM",
            "state": "PA",
            "postal_code": "190333203",
            "telephone_number": "610-586-7000",
            "fax_number": "610-586-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MACDADE BLVD",
            "address_2": "2ND FLOOR",
            "city": "FOLSOM",
            "state": "PA",
            "postal_code": "190333203",
            "telephone_number": "610-586-7000",
            "fax_number": "610-586-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETZAR",
        "first_name": "KERRI",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.