Victory Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

VICTORY PHYSICAL THERAPY LLC

Practice address

3350 NW 2ND Ave Ste B22
Boca Raton, FL 33431-6678

Phone

(754) 215-8400

Fax

(949) 703-7874

NPI assigned

Sep 25, 2024

Organization subpart

No

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

Authorized official

Name

Gina N Bebawey, DPTNPI 1306593546

Title

Physical Therapist

Phone

(754) 215-8400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Gina Nasser Bebawey, DPT

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1306593546
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1104643576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10211 HUNT CLUB LN",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184570",
            "telephone_number": "561-827-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 NW 2ND AVE STE B22",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316678",
            "telephone_number": "754-215-8400",
            "fax_number": "949-703-7874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10211 Hunt Club Ln",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334184570",
            "country_code": "US",
            "telephone_number": "561-827-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VICTORY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "BEBAWEY",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "754-215-8400",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vida Home Healthcare Inc
• Italo Valentim Vieira
• Lesly Viera, DMD
• Vijay Narayan Samant MD PA
• Harold Vil

• Physical Therapist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.