Individual provider Active NPI

Clifton Walter Rizer, PT

  • Physical Therapist
  • Juno Beach, FL
National Provider Identifier
1326005174
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21934 Issued in FL
Practice address
13205 US Highway 1
Suite 109
Juno Beach, FL 33408-2202
Phone
(561) 627-2525
Fax
(561) 672-2501
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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 PT21934 FL Primary

Addresses

Primary practice location

13205 US Highway 1
Suite 109
Juno Beach, FL 33408-2202

Mailing address

790 Juno Ocean Walk
Suite 504C
Juno Beach, FL 33408-1119
Phone (561) 627-2525

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050730000109 FL Practitioner - Physical Therapist in Private Practice 7113955238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gabriel Rehabilitation IncGroup PAC ID 6002899713, 2 clinicians

Practice addresses (Care Compare)

790 Juno Ocean Walk
Suite 504C
Juno Beach, FL 33408-1121
Phone (561) 627-2525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gabriel Rehabilitation, Inc Physical Therapist CurrentSince Feb 18, 2008 Accepting new patients
Boynton Sport and Back Physical Therapy Physical Therapist CurrentSince Mar 7, 2005 Accepting new patients
King & Associates Physical Therapy, Inc Physical Therapist PastSince Jul 31, 2023 Accepting new patients

Locations

2609 W Woolbright Rd
Ste 4A
Boynton Beach, FL 33436
Phone (561) 369-3068

13205 US Highway 1
Ste 109
Juno Beach, FL 33408
Phone (561) 627-2525

790 Juno Ocean Walk
Ste 504C
Juno Beach, FL 33408
Phone (561) 627-2525

Organizations & group practices 3

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1326005174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 JUNO OCEAN WALK",
            "address_2": "SUITE 504C",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334081119",
            "telephone_number": "561-627-2525",
            "fax_number": "561-672-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13205 US HIGHWAY 1",
            "address_2": "SUITE 109",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334082202",
            "telephone_number": "561-627-2525",
            "fax_number": "561-672-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZER",
        "first_name": "CLIFTON",
        "middle_name": "WALTER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juno Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.