Active NPI
Lawrence Eric Jaffe, PT, SCS, ATC
- Athletic Trainer
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL2121
- Practice address
- 7410 Boynton Beach Blvd
Suite a-11
Boynton Beach, FL 33437-6156 - Phone
- (561) 731-0163
- Fax
- (561) 731-1886
- NPI assigned
- May 9, 2007
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT22266 | FL | |
| Sports Physical Therapist | 2251S0007X | PT22266 | FL | |
| Athletic Trainer | 2255A2300X | AL2121 | FL | Primary |
Addresses
Primary practice location
7410 Boynton Beach Blvd
Suite a-11
Boynton Beach, FL 33437-6156
Mailing address
6605 NW 75TH PL
Parkland, FL 33067-3942
Phone (954) 740-1720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL2121 | FL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Broward Chiropractic and Wellness Center | Current | Accepting new patients | |
| Physical Therapy by Design LLC | Physical Therapist | Current | Accepting new patients |
| Mote Wellness & Rehab Inc | Past | Accepting new patients | |
| Palm Beach Aquatics & Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Locations
1905 Clint Moore Rd
Ste 305
Boca Raton, FL 33496
Phone (561) 208-5515
10151 Entrprs Cntr Blvd
Ste 104
Boynton Beach, FL 33437
Phone (561) 572-3220
6550 N State Road 7
Coconut Creek, FL 33073
Phone (954) 426-1100
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Maintenance Organization
- Coconut Creek, FL
- NPI 1194026245
-
- Physical Therapist
- Boca Raton, FL
- NPI 1689687055
-
- Physical Therapist
- Boynton Beach, FL
- NPI 1922739598
-
- Chiropractor
- Boynton Beach, FL
- NPI 1326011917
-
- Physical Therapist
- Boynton Beach, FL
- NPI 1841263464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1154535078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6605 NW 75TH PL",
"city": "PARKLAND",
"state": "FL",
"postal_code": "330673942",
"telephone_number": "954-740-1720",
"fax_number": "954-757-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7410 BOYNTON BEACH BLVD",
"address_2": "SUITE A-11",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334376156",
"telephone_number": "561-731-0163",
"fax_number": "561-731-1886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFFE",
"first_name": "LAWRENCE",
"middle_name": "ERIC",
"name_prefix": "Mr.",
"credential": "PT, SCS, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT22266",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "FL",
"license": "PT22266",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL2121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.