Individual provider Active NPI

Marta E Bosch, RPT

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1285729962
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6415 Issued in FL
Practice address
1414 SE 3Rd Ave
Fort Lauderdale, FL 33316-1910
Phone
(954) 764-8033
Fax
(954) 764-5522
NPI assigned
Oct 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT6415 FL Primary

Addresses

Primary practice location

1414 SE 3Rd Ave
Fort Lauderdale, FL 33316-1910

Mailing address

132 Royal Palm Dr
Fort Lauderdale, FL 33301-1411
Phone (954) 764-2753

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240605000571 FL Practitioner - Physical Therapist in Private Practice 7911449053 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Rehabilitation CenterGroup PAC ID 8527237247, 11 clinicians
Ortho Florida LLCGroup PAC ID 3274616453, 121 clinicians

Practice addresses (Care Compare)

11870 W State Rd
84 Suite C3
Davie, FL 33325-3811
Phone (954) 474-3611

1330 SE 4TH Ave
Suite B
Ft Lauderdale, FL 33316-1958
Phone (954) 861-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Rehabilitation Center CurrentSince May 20, 2024 Accepting new patients
Ortho Florida, LLC CurrentSince Sep 1, 2025 Accepting new patients
Atlantic Rehabilitation Center CurrentSince May 20, 2024 Accepting new patients
Ortho Florida, LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

16249 Biscayne Blvd
Aventura, FL 33160
Phone (305) 405-0400

1601 Clint Moore Rd
Ste 125
Boca Raton, FL 33487
Phone (561) 395-5733

11870 Sr 84
Bldg C3
Davie, FL 33325
Phone (954) 474-3611

1330 SE 4th Ave
Ste B
Ft Lauderdale, FL 33316
Phone (954) 463-3804

1414 SE 3rd Ave
Ft Lauderdale, FL 33316
Phone (954) 764-8033

17900 NW 5th St
Ste 102
Pembroke Pines, FL 33029
Phone (954) 251-0733

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285729962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 ROYAL PALM DR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011411",
            "telephone_number": "954-764-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 SE 3RD AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161910",
            "telephone_number": "954-764-8033",
            "fax_number": "954-764-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCH",
        "first_name": "MARTA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT6415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.