Individual provider Active NPI

Nils Erik Westerlund, P.T.

  • Geriatric Physical Therapist
  • West Palm Beach, FL
National Provider Identifier
1194742171
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PT18628 Issued in FL
Practice address
4920 Loring Dr
West Palm Beach, FL 33417-8052
Phone
(561) 209-6123
Fax
(561) 209-6355
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X PT18628 FL Primary

Addresses

Primary practice location

4920 Loring Dr
West Palm Beach, FL 33417-8052

Mailing address

4920 Loring Dr
West Palm Beach, FL 33417-8052
Phone (561) 209-6123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040129000087 FL Practitioner - Physical Therapist in Private Practice 1052214988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morselife Housing CorporationGroup PAC ID 8224090311, 4 clinicians

Practice addresses (Care Compare)

4920 Loring Dr
West Palm Beach, FL 33417-8052
Phone (561) 578-1173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT18628FLMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Morselife Housing Corporation Geriatrics CurrentSince Jan 18, 2005 Accepting new patients
Wilson Physical Therapy. P.a., Inc CurrentSince Oct 18, 2001 Accepting new patients
Physical Therapy Institute and Aquatic Rehab, Inc Past Accepting new patients
Aa Therapy Center Inc0Rporated Geriatrics Past Accepting new patients

Locations

1989 SE Federal Hwy
Ste 203
Stuart, FL 34994
Phone (772) 781-5681

1989 SE Federal Hwy
Ste 202
Stuart, FL 34994
Phone (561) 746-1099

Organizations & group practices 4

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194742171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 LORING DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334178052",
            "telephone_number": "561-209-6123",
            "fax_number": "561-209-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 LORING DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334178052",
            "telephone_number": "561-209-6123",
            "fax_number": "561-209-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTERLUND",
        "first_name": "NILS",
        "middle_name": "ERIK",
        "name_prefix": "Dr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "FL",
            "license": "PT18628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.