Individual provider Active NPI

James Shoenfelt IV

  • Physical Therapist
  • Wellington, FL
National Provider Identifier
1124431937
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26323 Issued in FL
Practice address
2172 Alworth Ter
Wellington, FL 33414-6431
Phone
(561) 383-0766
NPI assigned
Jun 9, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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 26323 FL Primary
Physical Therapist 225100000X 40QA00929600 NJ

Addresses

Primary practice location

2172 Alworth Ter
Wellington, FL 33414-6431

Mailing address

2172 Alworth Ter
Wellington, FL 33414-6431
Phone (561) 383-0766

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141006002285 FL Practitioner - Physical Therapist in Private Practice 8325009525 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26323FLMDPhysical Therapist
40QA00929600NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Now of Lake Worth Inc Physical Therapist CurrentSince Nov 1, 2018 Accepting new patients
Physical Therapy Now Holdings, LLC Physical Therapist Past Accepting new patients

Locations

3003 S Congress Ave
Ste 2F
Palm Springs, FL 33461
Phone (561) 963-6227

3003 S Congress Ave
Ste 2D
Palm Springs, FL 33461
Phone (561) 963-6227

Organizations & group practices 2

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1124431937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2172 ALWORTH TER",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146431",
            "telephone_number": "561-383-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2172 ALWORTH TER",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146431",
            "telephone_number": "561-383-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOENFELT",
        "first_name": "JAMES",
        "name_suffix": "IV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "26323",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00929600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.