Individual provider Active NPI

Kyle Bojda, DPT

  • Physical Therapist
  • Plymouth Meeting, PA
National Provider Identifier
1972144251
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028090 Issued in PA
Practice address
580 W Germantown Pike Ste 106
Plymouth Meeting, PA 19462-1370
Phone
(610) 082-8311
NPI assigned
Oct 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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 PT028090 PA Primary

Addresses

Primary practice location

580 W Germantown Pike Ste 106
Plymouth Meeting, PA 19462-1370

Mailing address

580 W Germantown Pike Ste 106
Plymouth Meeting, PA 19462-1370
Phone (610) 082-8311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220322002508 PA Practitioner - Physical Therapist in Private Practice 5991190308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heal at Home PT and Wellness LLCGroup PAC ID 3577942515, 10 clinicians

Practice addresses (Care Compare)

9237 Eagleview Dr
Lafayette Hill, PA 19444-1739
Phone (484) 988-0781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heal at Home PT & Wellness Physical Therapist CurrentSince May 16, 2022 Accepting new patients
Heal at Home PT & Wellness LLC Physical Therapist CurrentSince Mar 31, 2022 Accepting new patients
Medical Rehabilitation Centers of PA, P.C. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1972144251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 W GERMANTOWN PIKE STE 106",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621370",
            "telephone_number": "610-082-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 W GERMANTOWN PIKE STE 106",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621370",
            "telephone_number": "610-082-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOJDA",
        "first_name": "KYLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.