Individual provider Active NPI

Oscar Manuel Flores

  • Specialist
  • Jupiter, FL
National Provider Identifier
1073657243
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT9599 Issued in FL
Practice address
17681 Cinquez Park Rd W
Jupiter, FL 33458-3998
Phone
(561) 427-7200
Fax
(561) 427-7203
NPI assigned
Feb 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT9599 FL Primary

Addresses

Primary practice location

17681 Cinquez Park Rd W
Jupiter, FL 33458-3998

Mailing address

17681 Cinquez Park Rd W
Jupiter, FL 33458-3998
Phone (561) 427-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071221000014 FL Practitioner - Physical Therapist in Private Practice 8022108430 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Site Physical Therapy LLCGroup PAC ID 7810916897, 21 clinicians

Practice addresses (Care Compare)

11550 Mirasol Way
Palm Beach Gardens, FL 33418-6208
Phone (561) 632-2160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT9599FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Aquatics & Physical Therapy Inc CurrentSince Mar 18, 2019 Accepting new patients
Country Club PT PA PastSince Aug 18, 2010 Accepting new patients
Creative Wellness LLC Specialist Past Accepting new patients
Mote Wellness & Rehab Inc PastSince Jun 1, 2009 Accepting new patients
Vestbular Rehabilitation and Dizziness Center Inc Past Accepting new patients

Locations

3111 W Boynton Beach Blvd
Ste 200
Boynton Beach, FL 33436
Phone (561) 742-3283

3111 W Boynton Beach Blvd
Ste 20000
Boynton Beach, FL 33436
Phone (561) 865-2800

Organizations & group practices 6

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073657243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17681 CINQUEZ PARK RD W",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583998",
            "telephone_number": "561-427-7200",
            "fax_number": "561-427-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17681 CINQUEZ PARK RD W",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583998",
            "telephone_number": "561-427-7200",
            "fax_number": "561-427-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "OSCAR",
        "middle_name": "MANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "PT9599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.