MARIA CARRELLI PT, DPT
NPI 1225428659
Physical Therapist in Athens, GA


Quality Rating: 59.53 out of 100 score

NPI Status: Active since January 23, 2015

Contact Information

1765 OLD WEST BROAD ST
ATHENS, GA
ZIP 30606
Phone: (706) 549-1663
Fax: (706) 546-8792

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  • Individual
  • Female
  • Physical Therapist
  • Medicare Quality Reporting

About MARIA CARRELLI

This page provides the complete NPI Profile along with additional information for Maria Carrelli, a provider established in Athens, Georgia with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1225428659 assigned on January 2015. The practitioner's primary taxonomy code is 225100000X with license number PT011725 (GA). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1225428659
Provider Name
MARIA CARRELLI PT, DPT
Gender
Female
Entity Type
Individual
Location Address
1765 OLD WEST BROAD ST ATHENS, GA 30606
Location Phone
(706) 549-1663
Location Fax
(706) 546-8792
Mailing Address
1765 OLD WEST BROAD ST BLDG 2-200 ATHENS, GA 30606
Mailing Phone
(706) 549-1663
Mailing Fax
(706) 546-8792
Is Sole Proprietor?
No
Enumeration Date
01-23-2015
Last Update Date
06-08-2022
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Location Map

Secondary Locations

  • 3440 Highway 81
    Loganville, GA 30052
    (770) 554-5009

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
PT011725
License State
GA
Taxonomy Description
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:
  • 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.
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
12798974OTHER (01)CAQH

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes

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.

This service was performed 79 times for 15 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 59.53, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: .

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 59.53 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 52.39

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients

Reviews for MARIA CARRELLI PT, DPT

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1225428659
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22458216610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 8 + 2 + 1 + 6 + 6 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1225428659 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255576898 MICKEY STONE OT
Individual
Occupational Therapist (Hand)1765 OLD WEST BROAD ST BLDG 2, STE 100
ATHENS, GA 30606
(706) 549-1663
1730150194 MARK A ELLIS MD
Individual
Pain Medicine (Interventional Pain Medicine)1765 OLD WEST BROAD ST BLDG 1 STE 200
ATHENS, GA 30606
(706) 208-0451
1912922295 ROBERT T SCOTT III P.T.
Individual
Physical Therapist (Orthopedic)1765 OLD WEST BROAD ST BLDG 2, STE 200
ATHENS, GA 30606
(706) 549-1663
1538569397 MEGAN STINES DPT
Individual
Physical Therapist1765 OLD WEST BROAD ST BLDG 2, STE 200
ATHENS, GA 30606
(706) 549-1663
1336431808 JESSICA M DUNN PTA
Individual
Physical Therapy Assistant1765 OLD WEST BROAD ST BLDG 2, STE 200
ATHENS, GA 30606
(706) 549-1663
1346203478 TOUNYA K WHITTINGTON OTR, CHT
Individual
Occupational Therapist1765 OLD WEST BROAD ST
ATHENS, GA 30606
(706) 549-1663
1154621894 JESICA ADCOCK CHANCEY OTR, CHT
Individual
Occupational Therapist1765 OLD WEST BROAD ST
ATHENS, GA 30606
(706) 549-1663
1710265137 LAUREN SMITH RYTHER PT, DPT, ATC
Individual
Physical Therapist1765 OLD WEST BROAD ST
ATHENS, GA 30606
(706) 549-1663
1972905206 ALISON WATT PT, DPT
Individual
Physical Therapist1765 OLD WEST BROAD ST
ATHENS, GA 30606
(706) 549-1663
1124139605 GINGER LYNN BANNER OTL
Individual
Occupational Therapist1765 OLD WEST BROAD ST
ATHENS, GA 30606
(706) 549-1663
1336187665 KENNETH STUART COPES PT
Individual
Physical Therapist1765 OLD WEST BROAD ST BLDG 1 SUITE 100
ATHENS, GA 30606
(706) 543-2111
1568473163MRS. SHARON LYNN LACOUNT FNP-BC
Individual
Nurse Practitioner1765 OLD WEST BROAD ST BLDG 2, STE 300
ATHENS, GA 30606
(706) 548-6881
1558915884 KELLI WHITFIELD GARRETT CSFA
Individual
Specialist/Technologist, Other (Surgical Assistant)1765 OLD WEST BROAD ST
ATHENS, GA 30606
(706) 549-1663
1760922066 HEATHER LAVENDER CSFA
Individual
Specialist/Technologist, Other (Surgical Assistant)1765 OLD WEST BROAD ST
ATHENS, GA 30606
(706) 549-1663
1073716536 KELLY MCELREATH GRAHAM PA-C
Individual
Physician Assistant1765 OLD WEST BROAD ST
ATHENS, GA 30606
(706) 549-1663
1740857200 JULIE BAXTER CST, CSFA
Individual
Specialist/Technologist, Other (Surgical Assistant)1765 OLD WEST BROAD ST
ATHENS, GA 30606
(706) 549-1663
1851583207 MATTHEW JOHN WESTCOTT PT, DPT,OCS,ATC,MBA
Individual
Physical Therapist1765 OLD WEST BROAD ST
ATHENS, GA 30606
(706) 549-1663
1003899253 JOSEPH HALE PA-C
Individual
Physician Assistant1765 OLD WEST BROAD ST
ATHENS, GA 30606
(706) 549-1663
1104900869 JOHN DEGENARO PTA
Individual
Physical Therapy Assistant1765 OLD WEST BROAD ST
ATHENS, GA 30606
(706) 549-1663
1154657989 LAUREN HARRIS BROWN MS, OTR/L, CHT
Individual
Occupational Therapist1765 OLD WEST BROAD ST
ATHENS, GA 30606
(706) 549-1663

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225428659, enumerated in the NPI registry as an "individual" on January 23, 2015

The provider is located at 1765 Old West Broad St Athens, Ga 30606 and the phone number is (706) 549-1663

The provider's speciality is Physical Therapist with taxonomy code 225100000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes.

This NPI record was last updated on January 23, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.