Individual provider Active NPI

David Nepomuceno, PT

  • Physical Therapist
  • Deerfield BCH, FL
National Provider Identifier
1124882543
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41290 Issued in FL
Practice address
2259 W Hillsboro Blvd FL 33442
Deerfield BCH, FL 33442-1106
Phone
(954) 725-4160
NPI assigned
Feb 7, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 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 PT41290 FL Primary

Addresses

Primary practice location

2259 W Hillsboro Blvd FL 33442
Deerfield BCH, FL 33442-1106

Mailing address

2259 W Hillsboro Blvd
Deerfield BCH, FL 33442-1106
Phone (954) 725-4160

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250801000326 FL Practitioner - Physical Therapist in Private Practice 9739697707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Van Pelt and Associates Physical Therapy Services PAGroup PAC ID 1951463454, 8 clinicians

Practice addresses (Care Compare)

20371 Country Club Blvd
Boca Raton, FL 33434
Phone (561) 997-5210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT41290FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services LLC Physical Therapist CurrentSince Jul 10, 2025 Accepting new patients
Van Pelt & Associates Physical Therapy Services PA Physical Therapist CurrentSince Oct 12, 2025 Accepting new patients
Tenet Florida Physician Services II, LLC CurrentSince Jul 10, 2025 Accepting new patients
Tenet Florida Physician Services II, LLC Physical Therapist Current Accepting new patients

Locations

3848 Fau Blvd
Ste 105
Boca Raton, FL 33431
Phone (561) 395-2920

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608

5325 Greenwood Ave
Ste 101
West Palm Beach, FL 33407
Phone (561) 830-6093

Networks

  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: david.nepomuceno.1@13023.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1124882543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2259 W HILLSBORO BLVD",
            "city": "DEERFIELD BCH",
            "state": "FL",
            "postal_code": "334421106",
            "telephone_number": "954-725-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2259 W HILLSBORO BLVD FL 33442",
            "city": "DEERFIELD BCH",
            "state": "FL",
            "postal_code": "334421106",
            "telephone_number": "954-725-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEPOMUCENO",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield BCH, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.