Individual provider Active NPI

David L Pinero, PT

  • Physical Therapist
  • Royal Palm Beach, FL
National Provider Identifier
1114043577
Registry record updated Jan 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT22745 Issued in FL
Practice address
11482 Okeechobee Blvd Ste 2
Royal Palm Beach, FL 33411-8735
Phone
(561) 432-0111
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2024

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 PT22745 FL Primary

Addresses

Primary practice location

11482 Okeechobee Blvd Ste 2
Royal Palm Beach, FL 33411-8735

Mailing address

131 Saratoga Blvd W
Royal Palm Beach, FL 33411-8297
Phone (347) 813-5328

Other practice location 1

4455 Medical Center Way
West Palm Beach, FL 33407-3244
Phone (615) 778-4066

Other practice location 2

5840 Corporate Way Ste 2
West Palm Beach, FL 33407-2048
Phone (561) 432-0111

Other practice location 3

5065 Wallis Rd
West Palm Beach, FL 33415-1947
Phone (561) 689-1799

Other practice location 4

11375 Prosperity Farms Rd
Palm Beach Gardens, FL 33410-3442
Phone (561) 626-9702

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240227000375 FL Practitioner - Physical Therapist in Private Practice 2860837168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT22745FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Coast Physical Therapy Associates LLC Physical Therapist Current Accepting new patients

Locations

6169 S Jog Rd
Ste A11
Lake Worth, FL 33467
Phone 5614320111 ext. 1004

11482 Okeechobee Blvd
Ste 2
Royal Palm Beach, FL 33411

5840 Corporate Way
Ste 101
West Palm Beach, FL 33407
Phone (561) 852-7352

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704499200000",
    "number": "1114043577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 SARATOGA BLVD W",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118297",
            "telephone_number": "347-813-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11482 OKEECHOBEE BLVD STE 2",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118735",
            "telephone_number": "561-432-0111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4455 Medical Center Way",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334073244",
            "country_code": "US",
            "telephone_number": "615-778-4066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5840 Corporate Way Ste 2",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334072048",
            "country_code": "US",
            "telephone_number": "561-432-0111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5065 Wallis Rd",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334151947",
            "country_code": "US",
            "telephone_number": "561-689-1799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11375 Prosperity Farms Rd",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334103442",
            "country_code": "US",
            "telephone_number": "561-626-9702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINERO",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2024-01-06",
        "certification_date": "2024-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.