NPIMap

Organization Active NPI

Devoted Physical Therapy

  • Physical Therapist
  • Pompano Beach, FL
National Provider Identifier
1235757253
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DEVOTED PHYSICAL THERAPY
Doing business as
Devoted Physical Therapy
Practice address
900 E Atlantic Blvd Ste 11
Pompano Beach, FL 33060-7371
Phone
(754) 307-7024
Fax
(754) 307-1993
NPI assigned
Jul 7, 2020
Last updated
Sep 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Victor Derosa, PT, DPTNPI 1730699067
Title
Owner
Phone
(754) 307-7024

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

900 E Atlantic Blvd Ste 11
Pompano Beach, FL 33060-7371

Mailing address

900 E Atlantic Blvd Ste 11
Pompano Beach, FL 33060-7371
Phone (754) 307-7024

Other practice location 1

10075 S Jog Rd Ste 103
Boynton Beach, FL 33437-3532
Phone (561) 903-0289

Other names 1

  • Devoted Physical Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@devotedpt.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200819000512 FL Part B Supplier - Clinic/Group Practice 9537585732 Receives reassigned benefits from 7 practitioners
Practice locations: Pompano Beach, FL; Boynton Beach, FL

National Provider Directory

National Provider Directory

Locations

10075 S Jog Rd
Ste 103
Boynton Beach, FL 33437
Phone (561) 903-0289

50 NE 26th Ave
Ste 311
Pompano Beach, FL 33062
Phone (754) 307-7024

900 E Atlantic Blvd
Ste 11
Pompano Beach, FL 33060
Phone (754) 307-7024

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1235757253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E ATLANTIC BLVD STE 11",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607371",
            "telephone_number": "754-307-7024",
            "fax_number": "754-307-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E ATLANTIC BLVD STE 11",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607371",
            "telephone_number": "754-307-7024",
            "fax_number": "754-307-1993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10075 S Jog Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334373532",
            "country_code": "US",
            "telephone_number": "561-903-0289",
            "fax_number": "754-307-1993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEVOTED PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "DEROSA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-307-7024",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@devotedpt.com",
            "affiliation": "N",
            "address_1": "900 E Atlantic Blvd Ste 11",
            "city": "Pompano Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330607371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Devoted Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Devoted Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.