Kris Delostrinos Boado

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

20473 Issued in PA

Practice address

64 Trent Rd
Turnersville, NJ 08012-1821

Phone

(570) 688-6800

NPI assigned

May 9, 2011

Sex

Female

Sole proprietor

Yes

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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakas Rehabilitation ServicesGroup PAC ID 5294260485, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lakas Rehabilitation Services

  • Physical Therapy Clinic/Center
  • Turnersville, NJ
  • NPI 1629807946

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Mobile Therapy Services, Inc.

  • Physical Therapist
  • Ocean, NJ
  • NPI 1326495615
  Medicare reassignment NPD

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1871885863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 TRENT RD",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121821",
            "telephone_number": "570-688-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 TRENT RD",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121821",
            "telephone_number": "570-688-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOADO",
        "first_name": "KRIS",
        "middle_name": "DELOSTRINOS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-09",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "20473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solomon Kyaka Bisangwa, MD
• Margaret Kathryn Black, NP
• Jessica Renee Blanding, LPC
• Robert A Block, M.D.
• Joya Alannie Blount, LAC
• Sreedevi Bolisetti, M.D.
• April Bonay
• Melissa Meghan Bonewicz, PHYSICAL THARAPIST
• Florence Bonfigli, LCSW
• Steven A Boorstein, PHARM.D.

• Physical Therapist in Turnersville, NJ
• Providers in Turnersville, NJ by specialty
• Physical Therapist in New Jersey

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