Individual provider Active NPI

Neil Trickett, PT

  • Physical Therapist
  • Boynton Beach, FL
National Provider Identifier
1013095140
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT17951 Issued in FL
Practice address
119 Executive Cir
Boynton Beach, FL 33436-1835
Phone
(561) 733-6793
Fax
(561) 594-1717
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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 PT17951 FL Primary

Addresses

Primary practice location

119 Executive Cir
Boynton Beach, FL 33436-1835

Mailing address

119 Executive Cir
Boynton Beach, FL 33436-1835
Phone (561) 733-6793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005225NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Rehab and Wellness Inc. Past Accepting new patients
Professional Therapeutic Care Inc. Physical Therapist Past Accepting new patients
Gold Coast Physical Therapy Associates LLC Past Accepting new patients
Advanced Integrated Manual Physical Therapy, PA Physical Therapist PastSince Sep 27, 2002 Accepting new patients

Organizations & group practices 4

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1013095140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 EXECUTIVE CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361835",
            "telephone_number": "561-733-6793",
            "fax_number": "561-594-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 EXECUTIVE CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361835",
            "telephone_number": "561-733-6793",
            "fax_number": "561-594-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRICKETT",
        "first_name": "NEIL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT17951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.