Active NPI
Mobile Palms Physical Therapy LLC
- Physical Therapist
- Palm Beach Gardens, FL
National Provider Identifier
1033806633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MOBILE PALMS PHYSICAL THERAPY LLC
- Practice address
- 9506 Minorca Way Apt 201
Palm Beach Gardens, FL 33418-8150 - Phone
- (610) 639-5168
- NPI assigned
- Apr 24, 2023
- Last updated
- Jul 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Morgan Fenerty, PT, DPT
- Title
- Physical Therapist/Owner
- Phone
- (610) 639-5168
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
9506 Minorca Way Apt 201
Palm Beach Gardens, FL 33418-8150
Mailing address
9506 Minorca Way Apt 201
Palm Beach Gardens, FL 33418-8150
Phone (610) 639-5168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690156800000",
"number": "1033806633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9506 MINORCA WAY APT 201",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334188150",
"telephone_number": "610-639-5168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9506 MINORCA WAY APT 201",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334188150",
"telephone_number": "610-639-5168"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE PALMS PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-24",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A",
"authorized_official_last_name": "FENERTY",
"authorized_official_first_name": "MORGAN",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
"authorized_official_telephone_number": "610-639-5168",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.