NPIMap

Organization Active NPI

Palm Beach Therapy & Fitness Providers, Inc.

  • Physical Therapy Assistant
  • Lake Worth, FL
National Provider Identifier
1205364692
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
21985 Issued in FL
Legal business name
PALM BEACH THERAPY & FITNESS PROVIDERS, INC.
Practice address
6525 Bellaggio Lakes Blvd
Lake Worth, FL 33467-6165
Phone
(561) 676-1041
Fax
(561) 370-7034
NPI assigned
May 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Authorized official

Name
Kathleen M RiolinoNPI 1952756496
Title
President
Phone
(561) 676-1041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X 21985 FL Primary

Addresses

Primary practice location

6525 Bellaggio Lakes Blvd
Lake Worth, FL 33467-6165

Mailing address

15682 Cypress Park Dr
Wellington, FL 33414-6356
Phone (561) 676-1041

National Provider Directory

National Provider Directory
Tax ID family
Palm Beach Therapy Fitness Providers Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1205364692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15682 CYPRESS PARK DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146356",
            "telephone_number": "561-676-1041",
            "fax_number": "561-370-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 BELLAGGIO LAKES BLVD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676165",
            "telephone_number": "561-676-1041",
            "fax_number": "561-370-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH THERAPY & FITNESS PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-30",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "RIOLINO",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-676-1041"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "21985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.