Active NPI
Brittany J Flaherty, DPT
- Physical Therapist
- Palm Beach, FL
National Provider Identifier
1033460209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-019163
- Practice address
- 300 Royal Palm Way
Palm Beach, FL 33480-4305 - Phone
- (561) 655-7266
- Fax
- (561) 655-3269
- NPI assigned
- Sep 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 30105 | FL | |
| Physical Therapist | 225100000X | 070-019163 | IL | Primary |
Addresses
Primary practice location
300 Royal Palm Way
Palm Beach, FL 33480-4305
Mailing address
300 Royal Palm Way
Palm Beach, FL 33480-4305
Phone (561) 655-7266
Other practice location 1
2845 N Sheridan Rd
Suite 6400
Chicago, IL 60657
Phone (773) 665-8400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014931500 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30105 | FL | MD | Physical Therapist |
| 070-019163 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Center for Children and Adults | Past | Accepting new patients | |
| Rehabilitation Physicians PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Palm Beach, FL
- NPI 1710964887
-
- Physical Medicine & Rehabilitation Physician
- Palm Beach, FL
- NPI 1558352799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538092800000",
"number": "1033460209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 ROYAL PALM WAY",
"city": "PALM BEACH",
"state": "FL",
"postal_code": "334804305",
"telephone_number": "561-655-7266",
"fax_number": "561-655-3269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 ROYAL PALM WAY",
"city": "PALM BEACH",
"state": "FL",
"postal_code": "334804305",
"telephone_number": "561-655-7266",
"fax_number": "561-655-3269"
}
],
"practiceLocations": [
{
"address_1": "2845 N Sheridan Rd",
"address_2": "Suite 6400",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60657",
"country_code": "US",
"telephone_number": "773-665-8400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLAHERTY",
"first_name": "BRITTANY",
"middle_name": "J",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-27",
"last_updated": "2018-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "30105",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-019163",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014931500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.