Individual provider Active NPI

Brittany J Flaherty, DPT

  • Physical Therapist
  • Palm Beach, FL
National Provider Identifier
1033460209
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-019163 Issued in IL
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

Updated by the provider on Sep 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
014931500MedicaidFL

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
30105FLMDPhysical Therapist
070-019163ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Center for Children and Adults Past Accepting new patients
Rehabilitation Physicians PA PastSince Jan 27, 1997 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.

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.

Verify at the official NPI Registry.