Individual provider Active NPI

Beau Duronslet, PT, DPT

  • Physical Therapist
  • Palm Beach Gardens, FL
National Provider Identifier
1114602455
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42826 Issued in FL
Practice address
4215 Burns Rd Ste 280
Palm Beach Gardens, FL 33410-4625
Phone
(561) 727-1175
Fax
(561) 727-1175
NPI assigned
Jun 15, 2023
Last updated
May 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 33033 AZ
Physical Therapist 225100000X PT42826 FL Primary

Addresses

Primary practice location

4215 Burns Rd Ste 280
Palm Beach Gardens, FL 33410-4625

Mailing address

21000 Portofino Cir Apt 117
Palm Beach Gardens, FL 33418-1262

Other practice location 1

9219 E Hidden Spur Trl Ste 100
Scottsdale, AZ 85255-6708
Phone (480) 585-6810

Other practice location 2

5355 E High St Unit 113
Phoenix, AZ 85054-5481
Phone (602) 648-5444

Other practice location 3

28230 N Tatum Blvd Ste C4
Cave Creek, AZ 85331-6342
Phone (602) 648-5444

Other practice location 4

8405 N Pima Center Pkwy Ste 101
Scottsdale, AZ 85258-4669
Phone (602) 648-5444

Other practice location 5

6620 E McKellips Rd Ste 105
Mesa, AZ 85215-2867
Phone (602) 648-5444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250225004058 FL Practitioner - Physical Therapist in Private Practice 0244699635 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33033AZMDPhysical Therapist
PT42826FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
USA Sports Therapy South Miami Inc Physical Therapist CurrentSince Apr 4, 2025 Accepting new patients
Orthopedic Specialists of North America, PLLC Current Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Jun 13, 2023 Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Jun 13, 2023 Accepting new patients

Locations

28230 N Tatum Blvd
Ste C4
Cave Creek, AZ 85331

6620 E McKellips Rd
Ste 105
Mesa, AZ 85215
Phone (602) 922-9090

3033 N 44th St
Ste 360
Phoenix, AZ 85018

5355 E High St
Unit 113
Phoenix, AZ 85054

40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

8405 N Pima Center Pkwy
Ste 101
Scottsdale, AZ 85258
Phone (602) 493-9361

9219 E Hidden Spur Trl
Ste 100
Scottsdale, AZ 85255
Phone (602) 380-6807

21150 Biscayne Blvd
Ste 406
Miami, FL 33180

2605 S State Road 7
Ste 430
Wellington, FL 33414

Organizations & group practices 4

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": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1114602455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21000 PORTOFINO CIR APT 117",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334181262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 BURNS RD STE 280",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104625",
            "telephone_number": "561-727-1175",
            "fax_number": "561-727-1175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9219 E Hidden Spur Trl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852556708",
            "country_code": "US",
            "telephone_number": "480-585-6810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5355 E High St Unit 113",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850545481",
            "country_code": "US",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28230 N Tatum Blvd Ste C4",
            "address_purpose": "LOCATION",
            "city": "Cave Creek",
            "state": "AZ",
            "postal_code": "853316342",
            "country_code": "US",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8405 N Pima Center Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584669",
            "country_code": "US",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6620 E McKellips Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852152867",
            "country_code": "US",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURONSLET",
        "first_name": "BEAU",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-15",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "33033",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT42826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

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