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
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
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
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120516000025 | PA | Practitioner - Physical Therapist in Private Practice | 1658534425 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-019607 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HR Physician Services | Current |
Accepting new patients | |
| HR Physician Services | Current | Accepting new patients | |
| HR Physician Services | Current |
Accepting new patients | |
| Orthopedic Surgery & Rehabilitation Associates LLC | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102424131 | Medicaid | PA |
Other names
- Kelly Ann Flannery
NPI Registry JSON
{
"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
- Victoria Borges
- Elise Borgese
- Julia Nicole Borgesi
- Hossein Borghaei
- Jamie Theresa Borghi
- Victoria Marie Borgia
- Jody Borgman
- Karin E Borgmann-Winter
- Aaron Borgmann
- Kelley Elizabeth Borgmann
All providers in Philadelphia, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.