Individual provider Active NPI

Arvon Amisial, PT

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1205413648
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
23172 Sandalfoot Plaza Dr
Boca Raton, FL 33428-6627
Phone
(561) 432-0111
Fax
(561) 432-1075
NPI assigned
Mar 24, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

23172 Sandalfoot Plaza Dr
Boca Raton, FL 33428-6627

Mailing address

5840 Corporate Way Ste 101
West Palm Beach, FL 33407-2040
Phone (561) 432-0111

Other practice location 1

1401 Green Rd Ste F
Deerfield Beach, FL 33064-1053
Phone (954) 361-8274

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220113002903 FL Practitioner - Physical Therapist in Private Practice 7315338100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gold Coast Physical Therapy Associates LLCGroup PAC ID 1052306271, 26 clinicians

Practice addresses (Care Compare)

23172 Sandalfoot Plaza Dr
Boca Raton, FL 33428-6627
Phone (561) 432-0111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Coast Physical Therapy Associates LLC CurrentSince Aug 19, 2024 Accepting new patients
Gold Coast Physical Therapy Associates LLC Physical Therapist Current Accepting new patients
Gold Coast Physical Therapy Associates LLC CurrentSince Aug 19, 2024 Accepting new patients
Atlantic Rehabilitation Center CurrentSince Dec 14, 2021 Accepting new patients
Atlantic Rehabilitation Center CurrentSince Dec 14, 2021 Accepting new patients

Locations

16249 Biscayne Blvd
Aventura, FL 33160
Phone (305) 405-0400

23172 Sandalfoot Plaza Dr
Boca Raton, FL 33428

11870 Sr 84
Bldg C3
Davie, FL 33325
Phone (954) 474-3611

6169 S Jog Rd
Ste A11
Lake Worth, FL 33467
Phone 5614320111 ext. 1004

17900 NW 5th St
Ste 102
Pembroke Pines, FL 33029
Phone (954) 251-0733

5840 Corporate Way
Ste 101
West Palm Beach, FL 33407
Phone (561) 852-7352

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1205413648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 CORPORATE WAY STE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072040",
            "telephone_number": "561-432-0111",
            "fax_number": "561-432-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23172 SANDALFOOT PLAZA DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286627",
            "telephone_number": "561-432-0111",
            "fax_number": "561-432-1075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Green Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "330641053",
            "country_code": "US",
            "telephone_number": "954-361-8274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMISIAL",
        "first_name": "ARVON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.