Organization Active NPI

Mobile Palms Physical Therapy LLC

  • Physical Therapist
  • Palm Beach Gardens, FL
National Provider Identifier
1033806633
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Dr. Morgan Fenerty, PT, DPTNPI 1750051231
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20230705001437 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9638538929 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Beach Gardens, FL

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.