NPIMap

Individual provider Active NPI

Laurie P Rothman, M.D.

  • Family Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1093772972
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME88827 Issued in FL
Practice address
3401 Pga Blvd Ste 420
Palm Beach Gardens, FL 33410-2825
Phone
(561) 741-5620
NPI assigned
Apr 26, 2006
Last updated
Sep 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME88827 FL Primary

Addresses

Primary practice location

3401 Pga Blvd Ste 420
Palm Beach Gardens, FL 33410-2825

Mailing address

3401 Pga Blvd Ste 420
Palm Beach Gardens, FL 33410-2825
Phone (561) 741-5620

Other identifiers 1

IdentifierTypeStateIssuer
52036OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050919000922 FL Practitioner - Family PracticePractitioner - Internal Medicine 9931133071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bit Physical TherapyGroup PAC ID 4183160328, 138 clinicians
TGPN M2 LLCGroup PAC ID 4880058205, 2 clinicians

Practice addresses (Care Compare)

105 Ballenisle Circle
Palm Beach Gardens, FL 33418

4620 Pga Blvd
Suite 101
Palm Beach Gardens, FL 33418-3991
Phone (561) 559-0955

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Tampa General Provider Network Inc CurrentSince Mar 1, 2025 Accepting new patients
Tampa General Provider Network Inc Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
TGPN M2 LLC Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Healthy Women P.a. Past Accepting new patients
Physicians of South Florida, LLC Family Medicine PastSince Mar 1, 2012 Accepting new patients

Locations

3893 Military Trl
Ste 1
Jupiter, FL 33458
Phone (561) 559-0955

4620 Pga Blvd
Ste 101
Palm Beach Gardens, FL 33418
Phone (561) 559-0955

1201 N Olive Ave
West Palm Beach, FL 33401
Phone (561) 621-0012

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2982/brand/1/csg/1/fhir/r4
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: lrothman258148@direct.tgh.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1093772972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 PGA BLVD STE 420",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102825",
            "telephone_number": "561-741-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 PGA BLVD STE 420",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102825",
            "telephone_number": "561-741-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHMAN",
        "first_name": "LAURIE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME88827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52036",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.