NPIMap

Organization Active NPI

On Site Physical Therapy LLC

  • Physical Therapist
  • Jupiter, FL
National Provider Identifier
1033318266
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 20257 Issued in FL
Legal business name
ON SITE PHYSICAL THERAPY LLC
Practice address
200 Admirals Cove Blvd
Jupiter, FL 33477-4046
Phone
(561) 632-2160
Fax
(561) 842-6458
NPI assigned
Jul 17, 2007
Last updated
Sep 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Bradley Ryan Nolin, MPT, CSCSNPI 1821044249
Title
Owner/ Physical Therapist
Phone
(561) 632-2160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 20257 FL Primary

Addresses

Primary practice location

200 Admirals Cove Blvd
Jupiter, FL 33477-4046

Mailing address

513 Driftwood Rd
North Palm Beach, FL 33408-4813
Phone (561) 632-2160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121031000145 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7810916897 Receives reassigned benefits from 28 practitioners
Practice locations: Palm Beach Gardens, FL; West Palm Beach, FL; Palm City, FL; Orchid, FL; North Palm Beach, FL; Delray Beach, FL; Boynton Beach, FL; Jupiter, FL…

National Provider Directory

National Provider Directory
Tax ID family
On Site Physical Therapy LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17557 Claridge Oval W
Boca Raton, FL 33496
Phone (561) 451-4900

21351 Whitaker Dr
Boca Raton, FL 33433

2401 Willow Springs Dr
Boca Raton, FL 33496

3500 Clubhouse Ln
Boynton Beach, FL 33436
Phone (561) 735-8559

7667 Victory Ln
Delray Beach, FL 33446
Phone (561) 498-3606

200 Admirals Cove Blvd
Jupiter, FL 33477
Phone (561) 745-5920

521 Lake Ave
Ste 8
Lake Worth, FL 33460
Phone (305) 484-0832

1700 Windstar Blvd
Naples, FL 34112

11261 US Highway 1
North Palm Beach, FL 33408

2 Orchid Island Dr
Orchid, FL 32963

8100 Ibis Blvd
West Palm Beach, FL 33412
Phone (561) 625-8500

8225 Ibis Blvd
West Palm Beach, FL 33412

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1033318266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 DRIFTWOOD RD",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084813",
            "telephone_number": "561-632-2160",
            "fax_number": "561-842-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ADMIRALS COVE BLVD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774046",
            "telephone_number": "561-632-2160",
            "fax_number": "561-842-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON SITE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "NOLIN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "561-632-2160",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 20257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.