Individual provider Active NPI

Lawrence Eric Jaffe, PT, SCS, ATC

  • Athletic Trainer
  • Boynton Beach, FL
National Provider Identifier
1154535078
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AL2121 Issued in FL
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20100618000243 FL Practitioner - Physical Therapist in Private Practice 7416087416 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AL2121FLMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
North Broward Chiropractic and Wellness Center CurrentSince Nov 1, 2022 Accepting new patients
Physical Therapy by Design LLC Physical Therapist CurrentSince Nov 17, 2019 Accepting new patients
Mote Wellness & Rehab Inc PastSince Jun 1, 2009 Accepting new patients
Palm Beach Aquatics & Physical Therapy Inc Physical Therapist PastSince Nov 1, 2015 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.

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.

Verify at the official NPI Registry.