NPIMap

Organization Active NPI

Pinnacle Movement and Performance

  • Physical Therapy Clinic/Center
  • Delray Beach, FL
National Provider Identifier
1225527237
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT31829 Issued in FL
Legal business name
PINNACLE MOVEMENT AND PERFORMANCE
Practice address
2855 S Congress Ave Ste C
Delray Beach, FL 33445-7312
Phone
(561) 325-8278
Fax
(561) 962-1567
NPI assigned
May 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Dr. Eric Otero, DPTNPI 1609173053
Title
Physical Therapist
Phone
(407) 922-7622

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 Clinic/Center 261QP2000X PT31829 FL Primary

Addresses

Primary practice location

2855 S Congress Ave Ste C
Delray Beach, FL 33445-7312

Mailing address

2855 S Congress Ave Ste C
Delray Beach, FL 33445-7312
Phone (561) 325-8278

Other identifiers 1

IdentifierTypeStateIssuer
PT31829OtherFLSTATE OF FL, DEPT OF HEALTH, DIVISION OF MEDICAL QUALITY OF ASSURANCE

Other names 1

  • Pinnacle Movement and Performance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200323002777 FL Part B Supplier - Clinic/Group Practice 0547698656 Receives reassigned benefits from 12 practitioners
Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory

Locations

990 S Rogers Cir
Ste 7
Boca Raton, FL 33487
Phone (407) 572-0313

3600 S Congress Ave
Ste K
Boynton Beach, FL 33426
Phone (561) 325-8278

2855 S Congress Ave
Ste C
Delray Beach, FL 33445
Phone (561) 325-8278

16701 Cabernet Dr
Delray Beach, FL 33446
Phone (561) 325-8278

Practitioners & affiliated clinicians

Practitioners 12

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": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1225527237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 S CONGRESS AVE STE C",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334457312",
            "telephone_number": "561-325-8278",
            "fax_number": "561-962-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 S CONGRESS AVE STE C",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334457312",
            "telephone_number": "561-325-8278",
            "fax_number": "561-962-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE MOVEMENT AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "407-922-7622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT31829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FL, DEPT OF HEALTH, DIVISION OF MEDICAL QUALITY OF ASSURANCE",
            "identifier": "PT31829",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Movement and Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.