Individual provider Active NPI

Mary Terese Trebitz, PT DPT

  • Physical Therapist
  • Delray Beach, FL
National Provider Identifier
1104420074
Registry record updated Nov 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36465 Issued in FL
Practice address
4800 Linton Blvd Ste F116
Delray Beach, FL 33445-6583
Phone
(561) 498-1423
Fax
(561) 883-6161
NPI assigned
Nov 22, 2020
Last updated
Nov 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2020

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 PT36465 FL Primary

Addresses

Primary practice location

4800 Linton Blvd Ste F116
Delray Beach, FL 33445-6583

Mailing address

4800 Linton Blvd Ste F116
Delray Beach, FL 33445-6583
Phone (561) 498-1423

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201217002818 FL Practitioner - Physical Therapist in Private Practice 0244642148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Institute IncGroup PAC ID 0244139186, 8 clinicians

Practice addresses (Care Compare)

4800 Linton Blvd
Suite F116
Delray Beach, FL 33445-6583
Phone (561) 498-1423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT36465FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Institute Inc Physical Therapist CurrentSince Nov 30, 2020 Accepting new patients

Locations

4800 Linton Blvd
Ste F116
Delray Beach, FL 33445
Phone (561) 271-1888

Organizations & group practices 1

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": "1606003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606003200000",
    "number": "1104420074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 LINTON BLVD STE F116",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456583",
            "telephone_number": "561-498-1423",
            "fax_number": "561-883-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 LINTON BLVD STE F116",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456583",
            "telephone_number": "561-498-1423",
            "fax_number": "561-883-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREBITZ",
        "first_name": "MARY",
        "middle_name": "TERESE",
        "credential": "PT DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-22",
        "last_updated": "2020-11-22",
        "certification_date": "2020-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2020; 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.