Active NPI
Malfa Sugoy-Sy, PT
- Geriatric Physical Therapist
- Boca Raton, FL
National Provider Identifier
1316054786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 25755
- Practice address
- 2385 NW Executive Dr.
Suite 100
Boca Raton, FL 33432 - Phone
- (808) 391-0201
- NPI assigned
- Aug 23, 2006
- Last updated
- Apr 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 25755 | FL | Primary |
Addresses
Primary practice location
2385 NW Executive Dr.
Suite 100
Boca Raton, FL 33432
Mailing address
2385 NW Executive Dr.
Suite 100
Boca Raton, FL 33432
Phone (808) 391-0201
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25755 | FL | MD | Geriatric Physical Therapist |
| 014879 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302652800000",
"number": "1316054786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2385 NW EXECUTIVE DR.",
"address_2": "SUITE 100",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "33432",
"telephone_number": "808-391-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2385 NW EXECUTIVE DR.",
"address_2": "SUITE 100",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "33432",
"telephone_number": "808-391-0201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUGOY-SY",
"first_name": "MALFA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2011-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "FL",
"license": "25755",
"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 Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.