Individual provider Active NPI

Brent Christopher Stuart, PT

  • Physical Therapist
  • Boynton Beach, FL
National Provider Identifier
1083662175
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT22738 Issued in FL
Practice address
10151 Enterprise Center Boulevard
Suite 200
Boynton Beach, FL 33437-3759
Phone
(561) 208-1008
Fax
(561) 530-7833
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 PT016943 PA
Physical Therapist 225100000X PT22738 FL Primary

Addresses

Primary practice location

10151 Enterprise Center Boulevard
Suite 200
Boynton Beach, FL 33437-3759

Mailing address

9858 Clint Moore Road
C111-274
Boca Raton, FL 33496-1034
Phone (561) 482-1144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070403000643 FL Practitioner - Physical Therapist in Private Practice 6406950393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brent C Stuart LLCGroup PAC ID 8628355146, 3 clinicians

Practice addresses (Care Compare)

10151 Enterprise Ctr
Suite 107
Boynton Beach, FL 33437-3760
Phone (617) 429-6552

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT22738FLMDPhysical Therapist
PT016943PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy by Design LLC Physical Therapist CurrentSince Aug 27, 2006 Accepting new patients
Brent C Stuart LLC Physical Therapist CurrentSince Jan 2, 2017 Accepting new patients

Locations

9858 Clint Moore Rd
#C111274
Boca Raton, FL 33496
Phone (561) 482-1144

1905 Clint Moore Rd
Ste 305
Boca Raton, FL 33496
Phone (561) 208-5515

1905 Clint Moore Rd
Ste 102
Boca Raton, FL 33496
Phone (561) 994-0014

10151 Entrprs Cntr Blvd
Ste 200
Boynton Beach, FL 33437
Phone (561) 208-1008

10151 Entrprs Cntr Blvd
Ste 104
Boynton Beach, FL 33437
Phone (561) 572-3220

10151 Entrprs Cntr Blvd
Ste 107
Boynton Beach, FL 33437
Phone (561) 738-2000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083662175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9858 CLINT MOORE ROAD",
            "address_2": "C111-274",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961034",
            "telephone_number": "561-482-1144",
            "fax_number": "561-482-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CENTER BOULEVARD",
            "address_2": "SUITE 200",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373759",
            "telephone_number": "561-208-1008",
            "fax_number": "561-530-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "BRENT",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016943",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.