Michael P Bovarnick, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5811 Issued in FL

Practice address

6642 NW 25TH CT
Boca Raton, FL 33496-2016

Phone

(561) 376-8935

Fax

(561) 241-7763

NPI assigned

May 27, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Palm Physical Therapy Services Inc

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1629071212

  FL

  Medicare reassignment Authorized official
• Broward Physician Therapy Corp

  • Clinic/Center
  • Hollywood, FL
  • NPI 1134350309
  NPD (past)
• Family Foot and Ankle of Boca Raton P a

  • Specialist
  • Boca Raton, FL
  • NPI 1336250075
  NPD (past)
• Physical Therapy in Your Home Inc

  • Physical Therapy Clinic/Center
  • Boca Raton, FL
  • NPI 1356353437
  NPD (past)
• Trinity 5 Inc

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1326665084
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1295738995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6642 NW 25TH CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962016",
            "telephone_number": "561-376-8935",
            "fax_number": "561-241-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6642 NW 25TH CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962016",
            "telephone_number": "561-376-8935",
            "fax_number": "561-241-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVARNICK",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT5811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iriny Boules
• Jacqueline Bouley
• Bout Me Healing
• Bout Me Healing
• Bout Me Healing
• Shireen Bower, MSN, FNP-BC, NP-C
• Sarah Bowermaster
• Nicole Bowers
• Patricia Louise Maurer Bowker, R.N.
• Ashley Bowles, D.P.M.

• All providers in Boca Raton, FL
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.