NPIMap

Organization Active NPI

Gold Coast Physical Therapy Associates LLC

  • Physical Therapy Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1316714850
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
GOLD COAST PHYSICAL THERAPY ASSOCIATES LLC
Practice address
23172 Sandalfoot Plaza Dr
Boca Raton, FL 33428-6627
Phone
(561) 432-0111
Fax
(561) 432-1075
NPI assigned
Dec 5, 2023
Last updated
Oct 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Melissa Conover, CREDENTIALING
Title
Senior Credentialing Specialist
Phone
(561) 432-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

23172 Sandalfoot Plaza Dr
Boca Raton, FL 33428-6627

Mailing address

5840 Corporate Way Ste 101
West Palm Beach, FL 33407-2040
Phone (561) 432-0111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080429000185 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1052306271 Receives reassigned benefits from 28 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Boca Raton, FL; West Palm Beach, FL; Royal Palm Beach, FL; Palm Beach Gardens, FL; Lake Worth, FL; Jupiter, FL; Delray Beach, FL; Boynton Beach, FL

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Gold Coast Physical Therapy Associates LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

951 Broken Sound Pkwy NW
Ste 190
Boca Raton, FL 33487

1903 S Congress Ave
Ste 100
Boynton Beach, FL 33426

7431 Atlantic Ave
Ste 52
Delray Beach, FL 33446
Phone (561) 638-7455

11000 Prosperity Farms Rd
Ste 203
Palm Beach Gardens, FL 33410

3980 Rca Blvd
Ste 8001
Palm Beach Gardens, FL 33410
Phone (561) 434-2727

11120 S Crown Way
Ste 8
Wellington, FL 33414
Phone (561) 656-1028

5601 Okeechobee Blvd
Ste B
West Palm Beach, FL 33417
Phone (561) 202-6488

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1316714850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 CORPORATE WAY STE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072040",
            "telephone_number": "561-432-0111",
            "fax_number": "561-432-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23172 SANDALFOOT PLAZA DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286627",
            "telephone_number": "561-432-0111",
            "fax_number": "561-432-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COAST PHYSICAL THERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "CONOVER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "561-432-0111",
        "authorized_official_credential": "CREDENTIALING"
    },
    "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 4, 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.