Active NPI
Physical Evidence
- Chiropractor
- Boca Raton, FL
National Provider Identifier
1174868640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH10079
- Legal business name
- PHYSICAL EVIDENCE
- Practice address
- 7035 Beracasa Way Ste 104
Boca Raton, FL 33433-3454 - Phone
- (561) 361-4888
- Fax
- (561) 361-4999
- NPI assigned
- Dec 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David I Lipman, DC
- Title
- Owner/Chiropractor
- Phone
- (561) 361-4888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH10079 | FL | Primary |
Addresses
Primary practice location
7035 Beracasa Way Ste 104
Boca Raton, FL 33433-3454
Mailing address
9858 Clint Moore Rd # C111-274
Boca Raton, FL 33496-1034
Phone (561) 482-1144
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667260800000",
"number": "1174868640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9858 CLINT MOORE RD # C111-274",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334961034",
"telephone_number": "561-482-1144",
"fax_number": "561-482-1145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7035 BERACASA WAY STE 104",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334333454",
"telephone_number": "561-361-4888",
"fax_number": "561-361-4999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICAL EVIDENCE",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-10",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A",
"authorized_official_last_name": "LIPMAN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
"authorized_official_telephone_number": "561-361-4888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH10079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
- Nicole Phillips, PHARMD
- Arlene Phipps Asinovski, MD
- Phoenixtherapeutic Solutions, PA
- Phyllis Goldbetter LCSW Inc
- Physiatry Medical Consulting, Inc.
- Physical Evidence Regen, LLC
- Physical Medicine & Acupuncture,P.a.
- Physical Rehab Training LLC
- Physical Therapy by Design LLC
- Physical Therapy in Your Home Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.