NPIMap

Organization Active NPI

Tom Segal Physical Therapy, Inc.

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1083800775
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TOM SEGAL PHYSICAL THERAPY, INC.
Practice address
9045 La Fontana Blvd
Suite 113
Boca Raton, FL 33434-5636
Phone
(561) 482-8007
NPI assigned
Sep 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Mr. Tom J Segal, PTNPI 1508886599
Title
Owner
Phone
(561) 482-8007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

9045 La Fontana Blvd
Suite 113
Boca Raton, FL 33434-5636

Mailing address

9045 La Fontana Blvd
Suite 113
Boca Raton, FL 33434-5636
Phone (561) 482-8007

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101026000095 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3375736176 Receives reassigned benefits from 10 practitioners
Practice locations: Boca Raton, FL; Delray Beach, FL

National Provider Directory

National Provider Directory

Locations

9045 La Fontana Blvd
Ste 113
Boca Raton, FL 33434
Phone (561) 482-8007

5162 Linton Blvd
Ste 105
Delray Beach, FL 33484
Phone (561) 637-4539

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1083800775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9045 LA FONTANA BLVD",
            "address_2": "SUITE 113",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345636",
            "telephone_number": "561-482-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 LA FONTANA BLVD",
            "address_2": "SUITE 113",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345636",
            "telephone_number": "561-482-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM SEGAL PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-482-8007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.