Individual provider Active NPI

Ian Nagle, PT

  • Physical Therapist
  • Boynton Beach, FL
National Provider Identifier
1184638728
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19168 Issued in FL
Practice address
8198 S Jog Rd Ste 207
Boynton Beach, FL 33472-6903
Phone
(561) 740-2045
Fax
(561) 740-2414
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT19168 FL
Physical Therapist 225100000X PT19168 FL Primary

Addresses

Primary practice location

8198 S Jog Rd Ste 207
Boynton Beach, FL 33472-6903

Mailing address

8200 S Jog Rd
Ste 202
Boynton Beach, FL 33472-2981
Phone (561) 624-6242

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040412000354 FL Practitioner - Physical Therapist in Private Practice 6709870066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8198 S Jog Rd
Suite 207
Boynton Beach, FL 33472-6903
Phone (561) 740-2045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT19168FLMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DME & Associates, Inc. Physical Therapist CurrentSince Jan 15, 2007 Accepting new patients
Bant, LLC Physical Therapist Past Accepting new patients

Locations

8200 S Jog Rd
Ste 202
Boynton Beach, FL 33472
Phone (561) 740-2045

8198 S Jog Rd
Ste 207
Boynton Beach, FL 33472
Phone (561) 740-2045

7100 Fairway Dr
Ste 42
Palm Beach Gardens, FL 33418
Phone (561) 310-7259

Organizations & group practices 2

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1184638728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 S JOG RD",
            "address_2": "STE 202",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722981",
            "telephone_number": "561-624-6242",
            "fax_number": "305-675-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8198 S JOG RD STE 207",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334726903",
            "telephone_number": "561-740-2045",
            "fax_number": "561-740-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGLE",
        "first_name": "IAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PT19168",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19168",
            "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 May 22, 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.