Organization Active NPI

Yehuda Rupp Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1306509575
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
YEHUDA RUPP PHYSICAL THERAPY LLC
Practice address
7850 Lago del Mar Dr Apt 117
Boca Raton, FL 33433-4984
Phone
(646) 275-9642
NPI assigned
Oct 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Authorized official

Name
Dr. Yehuda Rupp, PT, DPTNPI 1689177651
Title
Ceo
Phone
(646) 275-9642

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

7850 Lago del Mar Dr Apt 117
Boca Raton, FL 33433-4984

Mailing address

7850 Lago del Mar Dr Apt 117
Boca Raton, FL 33433-4984
Phone (646) 275-9642

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211021000356 FL Part B Supplier - Clinic/Group Practice 7618365859 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1306509575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 LAGO DEL MAR DR APT 117",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334984",
            "telephone_number": "646-275-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 LAGO DEL MAR DR APT 117",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334984",
            "telephone_number": "646-275-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEHUDA RUPP PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "RUPP",
        "authorized_official_first_name": "YEHUDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-275-9642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 14, 2021; 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.