MRS. KELLY JEANNE GIORDANO (PT PHYS THERAPIST) – Physical Therapist, NPI 1104929736

MRS. KELLY JEANNE GIORDANO (PT PHYS THERAPIST) is a healthcare provider. based in Greenwood, Indiana. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT PHYS THERAPIST. They hold a License No. 05001729A (IN). The NPI Number for MRS. KELLY JEANNE GIORDANO (PT PHYS THERAPIST) is 1104929736

Main info

Female
43 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLY JEANNE GIORDANO (PT PHYS THERAPIST)
NPI
1104929736
Phone
(317) 865-8540
Address
1040 SIERRA DR
Enumeration Date
7 September 2006
Last Update Date
5 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2198361060
Graduation Year
1983 (43 years ago)
PAC ID
9739483967
Group Practice PAC ID
5597018523
Professional Enrollment ID
I20160209002497
Address ID
IN463212811MU9445XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,865 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

Provider Addresses for MRS. KELLY JEANNE GIORDANO (PT PHYS THERAPIST)

  • Sierra Drive, Greenwood, Johnson County, Indiana, 46142:46227, United States

    STE 400

    GREENWOOD, IN 461437241

    Phone: (317) 865-8540

    Fax: (317) 865-8317

    Type: Mailing

  • 759 45TH AVE

    SUITE 202

    MUNSTER, IN 463212938

    Phone: (219) 836-0193

    Fax: (219) 836-2452

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-02-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160209002497IPhysical Therapist In Private PracticeINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46143)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597018523View full group profile
NameSpecialtyState
Nurse PractitionerIL
Physical Therapist In Private PracticeIN
Podiatry, Orthopedic SurgeryIL
Physical Therapist In Private PracticeMI
Occupational Therapist In Private PracticeIL
Orthopedic SurgeryIN
Nurse PractitionerIN
Orthopedic SurgeryIN
Physician AssistantIN

Reviews

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Frequently asked questions

How do payers reference MRS. KELLY JEANNE GIORDANO (PT PHYS THERAPIST)?
For MRS. KELLY JEANNE GIORDANO (PT PHYS THERAPIST), use NPI 1104929736 as the unique 10-digit identifier.
Is MRS. KELLY JEANNE GIORDANO (PT PHYS THERAPIST) shown as active in public data?
Registry records indicate MRS. KELLY JEANNE GIORDANO (PT PHYS THERAPIST) maintains an active NPI.
What clinical focus is listed for MRS. KELLY JEANNE GIORDANO (PT PHYS THERAPIST)?
At a glance, MRS. KELLY JEANNE GIORDANO (PT PHYS THERAPIST) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Indiana is MRS. KELLY JEANNE GIORDANO (PT PHYS THERAPIST) registered?
Use Greenwood, Indiana as the headline location for MRS. KELLY JEANNE GIORDANO (PT PHYS THERAPIST) here.
When was this NPI issued?
Enumeration for MRS. KELLY JEANNE GIORDANO (PT PHYS THERAPIST) is noted as September 7, 2006 where the registry provides it.

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