Elliot Ehrlich, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25458 Issued in FL

Practice address

7846 Tennyson CT
Boca Raton, FL 33433-4142

Phone

(718) 866-8082

NPI assigned

Jan 11, 2010

Last updated

May 10, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Revival Therapy LLC

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1346502051
  NPD (past) Authorized official

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1225368467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7846 TENNYSON CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334142",
            "telephone_number": "718-866-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7846 TENNYSON CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334142",
            "telephone_number": "718-866-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRLICH",
        "first_name": "ELLIOT",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-11",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032291",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "25458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inna Edwards, FNP
• Lena D. Edwards, MD
• Amy Suzanne Effman, LMFT, CAP
• Jerrica Nicole Eggleston, CRNA
• Sally Williams Ehrich, APRN
• Helena Shira Ehrlich, OTR/L
• Abby Ehrman-Klayman, DCSW LCSW ACSW
• Jessica Elisabeth Eichler, M.D.
• Tarek Ismail Eid, MD
• Bruce N Eimer, PH.D.

• Physical Therapist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.