Individual provider Active NPI

Maciej Bielen, DPT

  • Physical Therapist
  • Delray Beach, FL
National Provider Identifier
1033843255
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41463 Issued in FL
Practice address
2855 S Congress Ave Ste C
Delray Beach, FL 33445-7312
Phone
(561) 325-8278
NPI assigned
Jul 13, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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 PT41463 FL Primary
Physical Therapist 225100000X 40QA02096400 NJ

Addresses

Primary practice location

2855 S Congress Ave Ste C
Delray Beach, FL 33445-7312

Mailing address

1312 Coastal Bay Blvd
Boynton Beach, FL 33435-7828
Phone (561) 325-8278

Other practice location 1

16701 Cabernet Dr
Delray Beach, FL 33446-2307
Phone (561) 325-8278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231124000029 NJ Practitioner - Physical Therapist in Private Practice 2163870551 Reassigns benefits to 1 organization
I20240611000206 FL Practitioner - Physical Therapist in Private Practice 2163870551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Movement and PerformanceGroup PAC ID 0547698656, 9 clinicians

Practice addresses (Care Compare)

2855 S Congress Ave
Suite C
Delray Beach, FL 33445-7312
Phone (561) 325-8278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT41463FLMDPhysical Therapist
40QA02096400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wallington Physical Therapy Physical Therapist CurrentSince Nov 2, 2023 Accepting new patients
Pinnacle Movement and Performance CurrentSince Feb 3, 2025 Accepting new patients

Locations

16701 Cabernet Dr
Delray Beach, FL 33446
Phone (561) 325-8278

2855 S Congress Ave
Ste C
Delray Beach, FL 33445
Phone (561) 325-8278

436 Main Ave
Wallington, NJ 07057
Phone (609) 388-7999

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": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1033843255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 COASTAL BAY BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357828",
            "telephone_number": "561-325-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 S CONGRESS AVE STE C",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334457312",
            "telephone_number": "561-325-8278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16701 Cabernet Dr",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334462307",
            "country_code": "US",
            "telephone_number": "561-325-8278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIELEN",
        "first_name": "MACIEJ",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-13",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41463",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02096400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.