NPIMap

Organization Active NPI

Functional Evaluation Testing of Florida, Inc

  • Neurology Physician
  • Boca Raton, FL
National Provider Identifier
1255533618
Registry record updated Apr 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
FUNCTIONAL EVALUATION TESTING OF FLORIDA, INC
Practice address
5301 N Federal Hwy Ste 165
Boca Raton, FL 33487-4914
Phone
(561) 705-1389
NPI assigned
Jun 5, 2007
Last updated
Apr 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2020

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

Authorized official

Name
Dr. Michael Chillemi, DC
Title
Ceo
Phone
(800) 381-3108

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X NU
Neurology Physician 2084N0400X NU Primary
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician 2081N0008X NU

Addresses

Primary practice location

5301 N Federal Hwy Ste 165
Boca Raton, FL 33487-4914

Mailing address

5301 N Federal Hwy Ste 165
Boca Raton, FL 33487-4914
Phone (561) 705-1389

Other practice location 1

1515 N Federal Hwy
Suite 300
Boca Raton, FL 33432-1911
Phone (800) 381-3108

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160526002124 FL Part B Supplier - Clinic/Group Practice 6002106481 Receives reassigned benefits from 3 practitioners
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

5301 N Federal Hwy
Ste 165
Boca Raton, FL 33487
Phone (561) 705-1389

Practitioners & affiliated clinicians

Practitioners 8

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": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587168000000",
    "number": "1255533618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 N FEDERAL HWY STE 165",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334874914",
            "telephone_number": "561-705-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 N FEDERAL HWY STE 165",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334874914",
            "telephone_number": "561-705-1389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 N Federal Hwy",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334321911",
            "country_code": "US",
            "telephone_number": "800-381-3108",
            "fax_number": "800-322-0262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FUNCTIONAL EVALUATION TESTING OF FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-04-18",
        "certification_date": "2020-04-18",
        "status": "A",
        "authorized_official_last_name": "CHILLEMI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-381-3108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 18, 2020; 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.