Active NPI
Evan Sloan Gerstel
- Physical Therapy Assistant
- Delray Beach, FL
National Provider Identifier
1215639596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 29760
- Practice address
- 15127 S Jog Rd Ste 210
Delray Beach, FL 33446-1251 - Phone
- (561) 498-1098
- NPI assigned
- Mar 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 29760 | FL | Primary |
Addresses
Primary practice location
15127 S Jog Rd Ste 210
Delray Beach, FL 33446-1251
Mailing address
147 Las Brisas Cir
Hypoluxo, FL 33462-7016
Phone (561) 215-5758
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29760 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1215639596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 LAS BRISAS CIR",
"city": "HYPOLUXO",
"state": "FL",
"postal_code": "334627016",
"telephone_number": "561-215-5758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15127 S JOG RD STE 210",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334461251",
"telephone_number": "561-498-1098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERSTEL",
"first_name": "EVAN",
"middle_name": "SLOAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-20",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "29760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.