Individual provider Active NPI

Erin E Mack, PT, DPT

  • Physical Therapist
  • Delray Beach, FL
National Provider Identifier
1316515877
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT37236 Issued in FL
Practice address
4800 Linton Blvd Ste F116
Delray Beach, FL 33445-6583
Phone
(561) 498-1423
NPI assigned
Jun 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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 PT37236 FL Primary

Addresses

Primary practice location

4800 Linton Blvd Ste F116
Delray Beach, FL 33445-6583

Mailing address

4800 Linton Blvd Ste F116
Delray Beach, FL 33445-6583

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240415001287 CO Practitioner - Physical Therapist in Private Practice 9931501947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Sky Physical Therapy, PCGroup PAC ID 3971668583, 10 clinicians

Practice addresses (Care Compare)

155 S Madison St
Suite 303
Denver, CO 80209-3014
Phone (303) 388-1537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT37236FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Sky Physical Therapy, PC Physical Therapist CurrentSince May 13, 2024 Accepting new patients
Lindsay Braun PastSince May 13, 2024 Accepting new patients

Locations

155 S Madison St
Ste 303
Denver, CO 80209
Phone (303) 388-1537

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1316515877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 LINTON BLVD STE F116",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 LINTON BLVD STE F116",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456583",
            "telephone_number": "561-498-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "ERIN",
        "middle_name": "E",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.