Organization Active NPI

Liberty of West Palm Beach

  • Physical Therapist
  • Palm Beach Gardens, FL
National Provider Identifier
1366784688
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LIBERTY OF WEST PALM BEACH
Practice address
3000 Central Gardens Cir
Palm Beach Gardens, FL 33418-8700
Phone
(561) 644-4186
Fax
(561) 536-5528
NPI assigned
Mar 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Mrs. Maria Fitos, PTA
Title
Rehab Director
Phone
(561) 644-4186

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

3000 Central Gardens Cir
Palm Beach Gardens, FL 33418-8700

Mailing address

1601 Belvedere Rd Ste 407S
West Palm Beach, FL 33406-1518
Phone (561) 644-4186

National Provider Directory

National Provider Directory

Locations

1601 Belvedere Rd
Ste 402
West Palm Beach, FL 33406

1601 Belvedere Rd
Ste 407S
West Palm Beach, FL 33406

Practitioners & affiliated clinicians

Practitioners 2

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": "1364169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1366784688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 BELVEDERE RD STE 407S",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334061518",
            "telephone_number": "561-644-4186",
            "fax_number": "616-607-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CENTRAL GARDENS CIR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334188700",
            "telephone_number": "561-644-4186",
            "fax_number": "561-536-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY OF WEST PALM BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-25",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "FITOS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "REHAB DIRECTOR",
        "authorized_official_telephone_number": "561-644-4186",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.