NPIMap

Organization Active NPI

Gold Coast Physical Therapy Associates LLC

Doing business as Fyzical Therapy & Balance Centers

  • Physical Therapy Clinic/Center
  • Lake Worth, FL
National Provider Identifier
1114026523
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
GOLD COAST PHYSICAL THERAPY ASSOCIATES LLC
Doing business as
Fyzical Therapy & Balance Centers
Practice address
9897 Lake Worth Rd
Suite 203
Lake Worth, FL 33467
Phone
(561) 432-0111
Fax
(561) 432-1075
NPI assigned
Sep 22, 2006
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
GOLD COAST PHYSICAL THERAPY ASSOCIATES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Mr. Michael L Graves, MSPTNPI 1134228547
Title
President Owner
Phone
(561) 432-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

9897 Lake Worth Rd
Suite 203
Lake Worth, FL 33467

Mailing address

5840 Corporate Way Ste 101
West Palm Beach, FL 33407-2040
Phone (561) 432-0111

Other identifiers 4

IdentifierTypeStateIssuer
6699392OtherFLGHI
891951802MedicaidFL
K2416OtherFLMEDICARE GROUP
Y913XOtherFLBCBS

Other names 1

  • Fyzical Therapy & Balance Centers Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080429000185 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1052306271 Receives reassigned benefits from 28 practitioners
11 other NPIs on this enrollment
Practice locations: Boca Raton, FL; West Palm Beach, FL; Royal Palm Beach, FL; Palm Beach Gardens, FL; Lake Worth, FL; Jupiter, FL; Delray Beach, FL; Boynton Beach, FL

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Gold Coast Physical Therapy11 organizations share this tax ID, including this one
Part of
Gold Coast Physical Therapy

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5030 Champion Blvd
Ste D9
Boca Raton, FL 33496

711 W Indiantown Rd
Ste C5
Jupiter, FL 33458

11000 Prosperity Farms Rd
Palm Beach Gardens, FL 33410
Phone (772) 919-5928

11000 Prosperity Farms Rd
Ste 203
Palm Beach Gardens, FL 33410

Practitioners & affiliated clinicians

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1114026523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 CORPORATE WAY STE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072040",
            "telephone_number": "561-432-0111",
            "fax_number": "561-432-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9897 LAKE WORTH RD",
            "address_2": "SUITE 203",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33467",
            "telephone_number": "561-432-0111",
            "fax_number": "561-432-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COAST PHYSICAL THERAPY ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOLD COAST PHYSICAL THERAPY ASSOCIATES LLC",
        "enumeration_date": "2006-09-22",
        "last_updated": "2025-09-02",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "561-432-0111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6699392",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891951802",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "K2416",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y913X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy & Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.