Active NPI
Arvon Amisial, PT
- Physical Therapist
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gold Coast Physical Therapy Associates LLC | Current | Accepting new patients | |
| Gold Coast Physical Therapy Associates LLC | Physical Therapist | Current | Accepting new patients |
| Gold Coast Physical Therapy Associates LLC | Current | Accepting new patients | |
| Atlantic Rehabilitation Center | Current | Accepting new patients | |
| Atlantic Rehabilitation Center | Current | 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.
-
- Physical Therapy Clinic/Center
- Lake Worth, FL
- NPI 1114026523
Physical Therapist
-
- Rehabilitation Practitioner
- Davie, FL
- NPI 1003973967
-
- Rehabilitation Practitioner
- Aventura, FL
- NPI 1366509200
-
- Physical Therapy Clinic/Center
- Boca Raton, FL
- NPI 1316714850
-
- Physical Therapy Clinic/Center
- Jupiter, FL
- NPI 1699410597
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.