Individual provider Active NPI

Sergio Gomez, DPT

  • Physical Therapist
  • Wellington, FL
National Provider Identifier
1124585286
Registry record updated Sep 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34280 Issued in FL
Practice address
1292 Waterway Cove Dr
Wellington, FL 33414-5722
Phone
(561) 790-8256
NPI assigned
Feb 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 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 PT34280 FL Primary

Addresses

Primary practice location

1292 Waterway Cove Dr
Wellington, FL 33414-5722

Mailing address

1292 Waterway Cove Dr
Wellington, FL 33414-5722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190812003434 FL Practitioner - Physical Therapist in Private Practice 9436486594 Reassigns benefits to 2 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
Group practices
F.I.T. PT, LLCGroup PAC ID 9931458296, 6 clinicians

Practice addresses (Care Compare)

950 Peninsula Corporate Cir
Suite 3004
Boca Raton, FL 33487-1387
Phone (561) 501-1983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT34280FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
F.I.T. PT, LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
S2 Physical Therapy P.a. Physical Therapist CurrentSince Mar 31, 2019 Accepting new patients

Locations

950 Peninsula Corporate Cir
Ste 3004
Boca Raton, FL 33487
Phone (561) 501-1983

211 S Narcissus Ave
Apt 1
West Palm Beach, FL 33401
Phone (561) 790-8256

211 S Narcissus Ave
#3
West Palm Beach, FL 33401
Phone (561) 790-8256

1 Bridge St
Ste 71
Irvington, NY 10533
Phone (914) 375-3434

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": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726963200000",
    "number": "1124585286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1292 WATERWAY COVE DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334145722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1292 WATERWAY COVE DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334145722",
            "telephone_number": "561-790-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "SERGIO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-25",
        "last_updated": "2024-09-22",
        "certification_date": "2024-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34280",
            "primary": true
        }
    ],
    "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 Sep 22, 2024; 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.