JAMES P BOGGIA DPT
NPI 1265925846
Physical Therapist in Berwyn, IL
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
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- 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.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show James Boggia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oak Brook, IL 60523
- Reassigned Medicare billing, Illinois enrollment
- 1,298 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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.
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.
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.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is James Boggia's NPI number?
The NPI number for James Boggia is 1265925846. It was assigned to this individual provider in the NPPES registry on June 8, 2018.
Where is James Boggia located?
James Boggia practices at 6347 Cermak Rd Ste A, Berwyn, IL 60402. The listed phone number is (708) 749-2566.
What is James Boggia's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is James Boggia enrolled in Medicare?
Yes. James Boggia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for James Boggia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Boggia reassigns Medicare benefits to Athletico Ltd (Oak Brook, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Boggia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Boggia accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list James Boggia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for James Boggia was last updated on September 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.