Individual provider Active NPI

Robertson Auguste, PT,DPT

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Plantation, FL
National Provider Identifier
1114451655
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
PT31528 Issued in FL
Practice address
220 SW 84TH Ave
Suite 102
Plantation, FL 33324-2754
Phone
(954) 720-1530
NPI assigned
Apr 11, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X PT31528 FL Primary

Addresses

Primary practice location

220 SW 84TH Ave
Suite 102
Plantation, FL 33324-2754

Mailing address

220 SW 84TH Ave
Suite 102
Plantation, FL 33324-2754
Phone (954) 720-1530

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171108000991 FL Practitioner - Physical Therapist in Private Practice 1951667989 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1015 Gateway Blvd
Suite 402
Boynton Beach, FL 33426-8347
Phone (561) 249-0053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Salvatore Larusso D C P a II CurrentSince Dec 15, 2020 Accepting new patients
All Pro Rehab & Performance Center CurrentSince Apr 1, 2022 Accepting new patients
Sportscare Institute, LLC CurrentSince Dec 1, 2020 Accepting new patients
Saylor Physical Therapy Jupiter LLC CurrentSince Jan 6, 2021 Accepting new patients
Saylor Physical Therapy West Palm Beach LLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

1015 Gateway Blvd
Ste 402
Boynton Beach, FL 33426
Phone (305) 335-9760

345 Jupiter Lakes Blvd
Ste 300
Jupiter, FL 33458
Phone (561) 529-2213

3938 Pinehurst Dr
Lake Worth, FL 33467
Phone (561) 461-4900

7408 Lake Worth Rd
Ste 500
Lake Worth, FL 33467
Phone (561) 432-3693

2090 Palm Beach Lakes Blvd
Ste 900
West Palm Beach, FL 33409
Phone (561) 335-5965

231 N New York Ave
Winter Park, FL 32789
Phone (407) 599-3700

2682 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 960-2806

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1114451655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SW 84TH AVE",
            "address_2": "SUITE 102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242754",
            "telephone_number": "954-720-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SW 84TH AVE",
            "address_2": "SUITE 102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242754",
            "telephone_number": "954-720-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTE",
        "first_name": "ROBERTSON",
        "credential": "PT,DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": "PT31528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.