JAMES P BOGGIA DPT
NPI 1265925846
Physical Therapist in Berwyn, IL

Active since June 08, 2018Accepts Medicare Assignment
92.76/100
CMS Quality Rating
6347 CERMAK RD STE A, BERWYN, IL 60402(708) 749-2566(708) 749-2498 Get Directions Write a Review

NPPES record last updated: September 10, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About James P Boggia Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES P BOGGIA DPT (NPI 1265925846) is an individual physical therapist in Berwyn, Illinois, licensed in Illinois (070023885) and active in the NPI registry since June 2018. He is a graduate of Other (2018).

NPPES Registry Identity

NPI1265925846
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJAMES P BOGGIACredential: DPT
Location Address6347 CERMAK RD STE ABerwyn, IL 60402-4748
Mailing Address600 Oakmont Ln Ste 600cWestmont, IL 60559-5548 · (630) 575-6200
Fax(708) 749-2498
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 8, 2018
Last NPPES UpdateSeptember 10, 2018
NPI 1265925846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in IL · 070023885
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

6347 CERMAK RD STE A, Berwyn, IL 60402

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

James P Boggia Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133470909
PECOS Enrollment IDI20180919000026

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
804 services78 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
503 services73 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
460 services71 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
340 services55 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
33 services33 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.48
Improvement Activities40

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
6347 CERMAK RD STE A
BERWYN, IL 60402
Physical Therapist
6347 CERMAK RD STE A
BERWYN, IL 60402
Physical Therapist
6347 CERMAK RD STE A
BERWYN, IL 60402
Physical Therapist
6347 CERMAK RD STE A
BERWYN, IL 60402
Physical Therapist
6347 CERMAK RD STE A
BERWYN, IL 60402
Physical Therapist
6347 CERMAK RD STE A
BERWYN, IL 60402
Physical Therapist
6347 CERMAK RD STE A
BERWYN, IL 60402
Physical Therapist
6347 CERMAK RD STE A
BERWYN, IL 60402

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265925846, enumerated as an "individual" on June 08, 2018.

The provider is located at 6347 CERMAK RD STE A BERWYN, IL 60402 and the phone number is (708) 749-2566.

Physical Therapist with taxonomy code 225100000X.