Individual provider Active NPI

Danielle Boyette, PT

  • Physical Therapist
  • Brandon, FL
National Provider Identifier
1073846895
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24840 Issued in FL
Practice address
932 Oakfield Dr
Brandon, FL 33511-4950
Phone
(813) 654-1410
NPI assigned
Sep 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT24840 FL Primary

Addresses

Primary practice location

932 Oakfield Dr
Brandon, FL 33511-4950

Mailing address

932 Oakfield Dr
Brandon, FL 33511-4950
Phone (813) 654-1410

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231010003156 FL Practitioner - Physical Therapist in Private Practice 1153776281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Rehabilitation, LLCGroup PAC ID 6901884519, 20 clinicians

Practice addresses (Care Compare)

10560 SW Village Pkwy
Port St Lucie, FL 34987-2359
Phone (772) 335-7966

3660 SW 30TH Ave
Palm City, FL 34990-3700
Phone (772) 335-7966

4007 SW Port St Lucie Blvd
Unit 6
Port St Lucie, FL 34953-5679
Phone (772) 281-4722

495 S Nova Rd
Suite 113
Ormond Beach, FL 32174-8470
Phone (386) 677-4300

519 NW Lake Whitney PL
Suite 101
Port St Lucie, FL 34986-1621
Phone (772) 621-9313

733 Dunlawton Ave
Suite 103
Port Orange, FL 32127-4226
Phone (386) 756-0077

800 Virginia Ave
Suite 48
Fort Pierce, FL 34982-5893
Phone (772) 464-6424

897 NE Jensen Beach Blvd
Jensen Beach, FL 34957-4799
Phone (772) 324-3080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy Sport Medicine Inc Physical Therapist Current Accepting new patients
Premier Physical Therapy & Sports Medicine Physical Therapist CurrentSince Sep 28, 2023 Accepting new patients
Premier Physical Therapy Sport Medicine Inc Physical Therapist CurrentSince Sep 28, 2023 Accepting new patients
University Rehabilitation, LLC Physical Therapist CurrentSince Sep 28, 2023 Accepting new patients
Rehabclinics SPT Inc Physical Therapist Past Accepting new patients

Locations

897 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 324-3080

733 Dunlawton Ave
Ste 103
Port Orange, FL 32127
Phone (386) 756-0077

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 5

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": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252627200000",
    "number": "1073846895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114950",
            "telephone_number": "813-654-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114950",
            "telephone_number": "813-654-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYETTE",
        "first_name": "DANIELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.