Individual provider Active NPI

Louise Grant

  • Physical Therapist
  • Lake Worth, FL
National Provider Identifier
1114816063
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16351 Issued in FL
Practice address
6417 Branchwood Dr
Lake Worth, FL 33467-7380
Phone
(561) 632-0208
NPI assigned
Jul 2, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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 16351 FL Primary

Addresses

Primary practice location

6417 Branchwood Dr
Lake Worth, FL 33467-7380

Mailing address

6417 Branchwood Dr
Lake Worth, FL 33467-7380
Phone (561) 632-0208

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250924000919 FL Practitioner - Physical Therapist in Private Practice 2668977422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegiance Home Therapy, IncGroup PAC ID 2163608738, 6 clinicians

Practice addresses (Care Compare)

Boca Raton, FL 33487
Phone (561) 367-0711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16351FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allegiance Home Therapy, Inc Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients

Locations

551 NW 77th St
Ste 111
Boca Raton, FL 33487
Phone (561) 367-0711

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": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1114816063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 BRANCHWOOD DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677380",
            "telephone_number": "561-632-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 BRANCHWOOD DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677380",
            "telephone_number": "561-632-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "LOUISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "16351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 15, 2025; 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.