Kelly Ann Borgia, PT

Individual provider Active NPI Physical Therapist · Philadelphia, PA

NPI 1710212436 · NPPES record last updated Nov 10, 2017

Key facts

NPI
1710212436
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT-019607 (PA)
Practice address
9475 Roosevelt Blvd
Philadelphia, PA 19114-2212
Phone
(215) 464-6200
Fax
(215) 464-9834
NPI assigned
Oct 14, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 9

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HR Physician Services (188 clinicians)

Practice addresses (Care Compare)

888 Fox Chase Rd
Rockledge, PA 19046-4437
Phone (215) 379-6772

Merit-based Incentive Payment System (MIPS)

Final score
74.16 of 100 (group)
Quality
48.35
Promoting interoperability
99
Improvement activities
40
Cost
66.34

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120516000025 PA Practitioner - Physical Therapist in Private Practice 1658534425 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT-019607PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
HR Physician Services Current
since Jan 12, 2025
Accepting new patients
HR Physician Services Current Accepting new patients
HR Physician Services Current
since Jan 12, 2025
Accepting new patients
Orthopedic Surgery & Rehabilitation Associates LLC Current
since Nov 1, 2017
Accepting new patients
HR Physician Services Past Accepting new patients

Locations

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1650 Huntingdon Pike
Ste 154
Meadowbrook, PA 19046
Phone (215) 938-1661

7500 Central Ave
Ste 108
Philadelphia, PA 19111
Phone (215) 745-4050

888 Fox Chase Rd
Rockledge, PA 19046
Phone (215) 379-6772

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-019607 PA Yes

Addresses

Primary practice location

9475 Roosevelt Blvd
Philadelphia, PA 19114-2212

Mailing address

7720 Hasbrook Ave
Philadelphia, PA 19111-2408
Phone (267) 446-7894

Other identifiers

IdentifierTypeStateIssuer
102424131MedicaidPA

Other names

  • Kelly Ann Flannery Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 10, 2017.

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510272000000",
    "number": "1710212436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 HASBROOK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112408",
            "telephone_number": "267-446-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142212",
            "telephone_number": "215-464-6200",
            "fax_number": "215-464-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGIA",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2017-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-019607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102424131",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "FLANNERY",
            "middle_name": "ANN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

All providers in Philadelphia, PA · Physical Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.