Individual provider Active NPI

Emilia Andriescu, PT

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1104999507
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21430 Issued in FL
Practice address
7200 W Camino Real
101
Boca Raton, FL 33433-5511
Phone
(561) 417-9563
Fax
(561) 417-9564
NPI assigned
Nov 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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 Therapist 225100000X PT21430 FL Primary

Addresses

Primary practice location

7200 W Camino Real
101
Boca Raton, FL 33433-5511

Mailing address

7200 W Camino Real
101
Boca Raton, FL 33433-5511
Phone (561) 417-9563

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070122000281 FL Practitioner - Physical Therapist in Private Practice 4486655255 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
023715NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fall Prevention Home Physical Therapy Inc Physical Therapist CurrentSince Apr 24, 2007 Accepting new patients
Sobe Innovative Rehabilitation PLLC Physical Therapist CurrentSince Oct 27, 2021 Accepting new patients
Activa, LC Physical Therapist CurrentSince Oct 25, 2025 Accepting new patients
Trinity 5 Inc Physical Therapist PastSince Jul 5, 2020 Accepting new patients
Physical Therapy in Your Home Inc Past Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

Organizations & group practices 5

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104999507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 W CAMINO REAL",
            "address_2": "101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335511",
            "telephone_number": "561-417-9563",
            "fax_number": "561-417-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 W CAMINO REAL",
            "address_2": "101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335511",
            "telephone_number": "561-417-9563",
            "fax_number": "561-417-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRIESCU",
        "first_name": "EMILIA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21430",
            "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.
  • 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.