Individual provider Active NPI

Carrie Anne Deperro, MPT

  • Physical Therapist
  • Blue Bell, PA
National Provider Identifier
1891753471
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015398 Issued in PA
Practice address
790 Penllyn Blue Bell Pike Ste 101
Blue Bell, PA 19422-1657
Phone
(267) 458-4998
Fax
(267) 419-8761
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reconstructive Orthopaedic Associates II LLC 274 clinicians

Practice addresses (Care Compare)

1200 Manor Dr
Chalfont, PA 18914-2203
Phone (215) 830-8700

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
79.04
Promoting interoperability
99
Improvement activities
40
Cost
82.85

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060505000804 PA Practitioner - Physical Therapist in Private Practice 0749291722 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Nov 30, 2022 Accepting new patients
Reconstructive Orthopaedic Associates II LLC Physical Therapist CurrentSince Nov 30, 2022 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist Past Accepting new patients

Locations

1200 Manor Dr
Chalfont, PA 18914
Phone (215) 830-8700

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT015398 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

790 Penllyn Blue Bell Pike Ste 101
Blue Bell, PA 19422-1657

Mailing address

224 Strawbridge Dr Ste 100
Moorestown, NJ 08057-4602
Phone (856) 677-4000

Other names 1

NPPES NPI Registry
  • Miss Carrie Anne Buggey Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 15, 2022.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1891753471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 STRAWBRIDGE DR STE 100",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080574602",
            "telephone_number": "856-677-4000",
            "fax_number": "856-234-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 PENLLYN BLUE BELL PIKE STE 101",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221657",
            "telephone_number": "267-458-4998",
            "fax_number": "267-419-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPERRO",
        "first_name": "CARRIE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "BUGGEY",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blue Bell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.