Eric Boccadifuoco, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1537 NE Cedar St
Jensen Beach, FL 34957-4808

Phone

(772) 332-1000

NPI assigned

Apr 3, 2023

Last updated

Apr 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sobe Innovative Rehabilitation PLLCGroup PAC ID 4789994336, 178 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sobe Innovative Rehabilitation PLLC

  • Physical Therapist
  • Miami, FL
  • NPI 1164800595
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1326743121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SW LAKE CHARLES CIR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863429",
            "telephone_number": "917-583-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 NE CEDAR ST",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574808",
            "telephone_number": "772-332-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCCADIFUOCO",
        "first_name": "ERIC",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brennae Lee Bilinski, CF-SLP
• Tegan Bissell, RD, LDN, CDCES
• BJ's Wholesale Club Inc.
• Dana W Black, COTA
• R M Blatstein, DPM PA
• Grace Bohan
• Rhiannon Noel Boswell, APRN, FNP- BC
• Douglas W Bowling, M.D.
• Lois Schooley Bowne, MS/CCC-SLP
• Breakthrough Behavior Analysis, LLC

• Physical Therapist in Jensen Beach, FL
• Providers in Jensen Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.