NPIMap

Organization Active NPI

MPB Sports and Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1346787587
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
21438 Issued in FL
Legal business name
MPB SPORTS AND REHABILITATION INC
Practice address
3048 NW 29TH Ave
Boca Raton, FL 33434-6036
Phone
(954) 290-1404
NPI assigned
Jan 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Authorized official

Name
Melissa Bonaros, MSPTNPI 1689763807
Title
President
Phone
(954) 290-1404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 21438 FL Primary

Addresses

Primary practice location

3048 NW 29TH Ave
Boca Raton, FL 33434-6036

Mailing address

3048 NW 29TH Ave
Boca Raton, FL 33434-6036
Phone (954) 290-1404

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1346787587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 NW 29TH AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334346036",
            "telephone_number": "954-290-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 NW 29TH AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334346036",
            "telephone_number": "954-290-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPB SPORTS AND REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "BONAROS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-290-1404",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "21438",
            "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 Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.