Individual provider Active NPI

Rettig W. Talbot, P.T.

  • Sports Physical Therapist
  • Boynton Beach, FL
National Provider Identifier
1265578884
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
PT 4746 Issued in FL
Practice address
7593 Boynton Beach Blvd
Suite 280
Boynton Beach, FL 33437-6154
Phone
(561) 733-5888
Fax
(888) 714-5190
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X PT 4746 FL Primary

Addresses

Primary practice location

7593 Boynton Beach Blvd
Suite 280
Boynton Beach, FL 33437-6154

Mailing address

7593 Boynton Beach Blvd
Suite 280
Boynton Beach, FL 33437-6154
Phone (561) 733-5888

Other identifiers 1

IdentifierTypeStateIssuer
P00450774OtherFLMEDICARE RAIL ROAD

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 4746FLMDSports Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1265578884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7593 BOYNTON BEACH BLVD",
            "address_2": "SUITE 280",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376154",
            "telephone_number": "561-733-5888",
            "fax_number": "888-714-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7593 BOYNTON BEACH BLVD",
            "address_2": "SUITE 280",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376154",
            "telephone_number": "561-733-5888",
            "fax_number": "888-714-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBOT",
        "first_name": "RETTIG",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "FL",
            "license": "PT 4746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P00450774",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.