Individual provider Active NPI

Shmuel Zev Zidell, DPT

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1316658263
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
39542 Issued in FL
Practice address
21895 Lake Forest Cir Apt 204
Boca Raton, FL 33433-3318
Phone
(305) 505-2565
Fax
(305) 675-3363
NPI assigned
Dec 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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 39542 FL Primary

Addresses

Primary practice location

21895 Lake Forest Cir Apt 204
Boca Raton, FL 33433-3318

Mailing address

4575 N Michigan Ave
Miami Beach, FL 33140-2918
Phone (305) 505-2565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221224000203 FL Practitioner - Physical Therapist in Private Practice 7719357375 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39542FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Florida, LLC Physical Therapist CurrentSince Dec 14, 2022 Accepting new patients
Empowerme Rehabilitation Florida, LLC CurrentSince Dec 14, 2022 Accepting new patients
N.B.P.T., Inc. Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Backman Health and Wellness LLC Physical Therapist CurrentSince Jan 8, 2023 Accepting new patients
On Site Physical Therapy LLC Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients
Tom Segal Physical Therapy, Inc. Physical Therapist CurrentSince Jan 3, 2025 Accepting new patients

Locations

9045 La Fontana Blvd
Ste 113
Boca Raton, FL 33434
Phone (561) 482-8007

5162 Linton Blvd
Ste 105
Delray Beach, FL 33484
Phone (561) 637-4539

200 Admirals Cove Blvd
Jupiter, FL 33477
Phone (561) 745-5920

521 Lake Ave
Ste 8
Lake Worth, FL 33460
Phone (305) 484-0832

309 71st St
Miami Beach, FL 33141
Phone (305) 867-3925

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 7

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": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1316658263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 N MICHIGAN AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402918",
            "telephone_number": "305-505-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21895 LAKE FOREST CIR APT 204",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333318",
            "telephone_number": "305-505-2565",
            "fax_number": "305-675-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIDELL",
        "first_name": "SHMUEL",
        "middle_name": "ZEV",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-12",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "39542",
            "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 Dec 16, 2024; 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.