Active NPI
Scarlett J Balboa, PT, DPT
- Physical Therapist
- Weston, FL
National Provider Identifier
1366925885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT33905
- Practice address
- 2229 N Commerce Pkwy Ste 250
Weston, FL 33326-3283 - Phone
- (954) 659-8986
- Fax
- (954) 659-8987
- NPI assigned
- Sep 11, 2018
- Last updated
- Sep 11, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT33905 | FL | Primary |
Addresses
Primary practice location
2229 N Commerce Pkwy Ste 250
Weston, FL 33326-3283
Mailing address
5317 NE 3Rd Ave
Fort Lauderdale, FL 33334-1644
Phone (754) 423-6686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT33905 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics Pta, Inc. | Past | Accepting new patients | |
| Rehabclinics SPT Inc | Physical Therapist | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
Organizations & group practices 2
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.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Plantation, FL
- NPI 1003358235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536624000000",
"number": "1366925885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5317 NE 3RD AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333341644",
"telephone_number": "754-423-6686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2229 N COMMERCE PKWY STE 250",
"city": "WESTON",
"state": "FL",
"postal_code": "333263283",
"telephone_number": "954-659-8986",
"fax_number": "954-659-8987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALBOA",
"first_name": "SCARLETT",
"middle_name": "J",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-11",
"last_updated": "2018-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT33905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.