NPIMap

Organization Active NPI

Boynton Sport and Back Physical Therapy

  • Physical Therapist
  • Boynton Beach, FL
National Provider Identifier
1376509711
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BOYNTON SPORT AND BACK PHYSICAL THERAPY
Practice address
2609 W Woolbright Rd
Suite 4a
Boynton Beach, FL 33436-6634
Phone
(561) 369-3068
Fax
(561) 734-1020
NPI assigned
Apr 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Abby Franco, PTNPI 1003873514
Title
President
Phone
(561) 369-3068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

2609 W Woolbright Rd
Suite 4a
Boynton Beach, FL 33436-6634

Mailing address

2609 W Woolbright Rd
Suite 4a
Boynton Beach, FL 33436-6634
Phone (561) 369-3068

Other identifiers 1

IdentifierTypeStateIssuer
Y913QOtherFLBLUE CROSS GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376509711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 W WOOLBRIGHT RD",
            "address_2": "SUITE 4A",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334366634",
            "telephone_number": "561-369-3068",
            "fax_number": "561-734-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 W WOOLBRIGHT RD",
            "address_2": "SUITE 4A",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334366634",
            "telephone_number": "561-369-3068",
            "fax_number": "561-734-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYNTON SPORT AND BACK PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRANCO",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-369-3068",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "Y913Q",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.