Individual provider Active NPI

Gail Ruth Garland Padrino, PTA

  • Physical Therapy Assistant
  • Boca Raton, FL
National Provider Identifier
1104931484
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA 014090 Issued in FL
Practice address
1786 NW Boca Raton Blvd
Boca Raton, FL 33432-1616
Phone
(561) 368-6920
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA 014090 FL Primary

Addresses

Primary practice location

1786 NW Boca Raton Blvd
Boca Raton, FL 33432-1616

Mailing address

4511 S Ocean Blvd
#1002
Highland Beach, FL 33487-4276
Phone (561) 278-8874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA 014090FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104931484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 S OCEAN BLVD",
            "address_2": "#1002",
            "city": "HIGHLAND BEACH",
            "state": "FL",
            "postal_code": "334874276",
            "telephone_number": "561-278-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 NW BOCA RATON BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321616",
            "telephone_number": "561-368-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLAND PADRINO",
        "first_name": "GAIL",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 014090",
            "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.