Individual provider Active NPI

Vivian Fleming Bonilha Neves, PT

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1083227078
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
35366 Issued in FL
Practice address
19801 Hampton Dr Ste C3
Boca Raton, FL 33434-2840
Phone
(561) 576-3101
Fax
(561) 990-1344
NPI assigned
Aug 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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 35366 FL Primary

Addresses

Primary practice location

19801 Hampton Dr Ste C3
Boca Raton, FL 33434-2840

Mailing address

10412 Sunstream LN
Boca Raton, FL 33428-4231
Phone (561) 567-1139

Other practice location 1

10412 Sunstream Ln
Boca Raton, FL 33428-4231
Phone (561) 567-1139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35366FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body in Motion & Wellness Corp Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Preferred Physical Therapy Associates Physical Therapist PastSince Aug 1, 2020 Accepting new patients

Locations

19801 Hampton Dr
Ste C3
Boca Raton, FL 33434
Phone (561) 576-3101

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": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1083227078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10412 SUNSTREAM LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284231",
            "telephone_number": "561-567-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19801 HAMPTON DR STE C3",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342840",
            "telephone_number": "561-576-3101",
            "fax_number": "561-990-1344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10412 Sunstream Ln",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334284231",
            "country_code": "US",
            "telephone_number": "561-567-1139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING BONILHA NEVES",
        "first_name": "VIVIAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2023-11-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "35366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.