Individual provider Active NPI

Sophia Theodorou, PA-C

  • Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1144702168
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7600 Camino Real
Boca Raton, FL 33433-5514
Phone
(561) 235-5206
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

7600 Camino Real
Boca Raton, FL 33433-5514

Mailing address

7600 Camino Real
Boca Raton, FL 33433-5514
Phone (561) 235-5206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190130002567 FL Practitioner - Physician Assistant 7517204480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

10081 W Oakland Park Blvd
Unit 1
Sunrise, FL 33351-6919
Phone (954) 579-6858

14701 S Military TRL
Delray Beach, FL 33484-8152
Phone (561) 865-4702

16040 Pines Blvd
Pembroke Pines, FL 33027-1171
Phone (954) 301-4988

1625 S Federal Hwy
Boynton Beach, FL 33435-6953
Phone (561) 945-0544

1809 N University Dr
Coral Springs, FL 33071-6001
Phone (954) 510-1900

2502 N Federal Hwy
Lighthouse Point, FL 33064-6856
Phone (954) 943-3880

2571 S University Dr
Davie, FL 33324-5845
Phone (561) 420-8555

3470 NW 62ND Ave
Margate, FL 33063-8311
Phone (954) 972-6868

4036 W Hillsboro Blvd
Deer Field Beach, FL 33442-9416
Phone (954) 428-3880

4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881

4640 W Commercial Blvd
Tamarac, FL 33319-3314
Phone (954) 425-9449

5216 N Federal Hwy
Ft. Lauderdale, FL 33308-3202
Phone (954) 958-5858

5817 N University Dr
Tamarac, FL 33321-4633
Phone (954) 720-1111

601 Linton Blvd
Delray Beach, FL 33444-8149
Phone (561) 276-2270

6240 Coral Ridge Dr
Suite 105
Coral Springs, FL 33076-3390
Phone (954) 340-6898

6300 N Andrews Ave
Fort Lauderdale, FL 33309-2130
Phone (954) 492-2035

7007 W Broward Blvd
Unit 5
Plantation, FL 33317-2208
Phone (954) 791-3636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Feb 18, 2020 Accepting new patients

Locations

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

901 S State Road 7
Plantation, FL 33317
Phone (754) 200-8803

5817 N University Dr
Tamarac, FL 33321
Phone (954) 720-1111

2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409

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": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1144702168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 CAMINO REAL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335514",
            "telephone_number": "561-235-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 CAMINO REAL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335514",
            "telephone_number": "561-235-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEODOROU",
        "first_name": "SOPHIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.