Active NPI
Melissa Roque, DPT
- Physical Therapist
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT88830
- Practice address
- 1903 S Congress Ave Ste 100
Boynton Beach, FL 33426-6553 - Phone
- (561) 432-0111
- Fax
- (561) 432-1075
- NPI assigned
- Dec 10, 2013
- 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 | PT88830 | FL | Primary |
Addresses
Primary practice location
1903 S Congress Ave Ste 100
Boynton Beach, FL 33426-6553
Mailing address
5840 Corporate Way Ste 101
West Palm Beach, FL 33407-2040
Phone (561) 432-0111
Other practice location 1
22 SW 4th Ave
apt c
Delray Beach, FL 33444-2506
Phone (561) 573-4293
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT28830 | Other | FL | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1903 S Congress Ave
Suite 100
Boynton Beach, FL 33426-6553
Phone (561) 432-0111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT88830 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Gold Coast Physical Therapy Associates LLC | Current | Accepting new patients | |
| Orthopedic Center of Palm Beach County, LLC | Current | Accepting new patients | |
| Palm Beach Aquatics & Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Gold Coast Physical Therapy Associates LLC | Physical Therapist | Current | Accepting new patients |
| Gold Coast Physical Therapy Associates LLC | Current | Accepting new patients | |
| Orthopedic Center of Palm Beach County | Current | Accepting new patients | |
| Orthopedic Center of Palm Beach County, LLC | Past | Accepting new patients | |
| Mote Wellness & Rehab Inc | Past | Accepting new patients |
Locations
3111 W Boynton Beach Blvd
Ste 200
Boynton Beach, FL 33436
Phone (561) 742-3283
3111 W Boynton Beach Blvd
Ste 20000
Boynton Beach, FL 33436
Phone (561) 865-2800
1903 S Congress Ave
Ste 100
Boynton Beach, FL 33426
5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627
6169 S Jog Rd
Ste A11
Lake Worth, FL 33467
Phone 5614320111 ext. 1004
4801 S Congress Ave
Palm Springs, FL 33461
Phone (407) 967-6500
5840 Corporate Way
Ste 101
West Palm Beach, FL 33407
Phone (561) 852-7352
Networks
- Freedom Health HMO Network
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Lake Worth, FL
- NPI 1114026523
Physical Therapist
-
- Physical Therapist
- Jacksonville, FL
- NPI 1114542032
-
- Specialist
- Atlantis, FL
- NPI 1114079738
-
- Physical Therapist
- Boynton Beach, FL
- NPI 1841263464
-
- Physical Therapy Clinic/Center
- Boca Raton, FL
- NPI 1316714850
-
- Physical Therapy Clinic/Center
- Lake Worth, FL
- NPI 1598847899
-
- Durable Medical Equipment & Medical Supplies
- Boca Raton, FL
- NPI 1891683801
-
- Chiropractor
- Boynton Beach, FL
- NPI 1326011917
-
- Orthopaedic Surgery Physician
- Atlantis, FL
- NPI 1164963252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1376974766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5840 CORPORATE WAY STE 101",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072040",
"telephone_number": "561-432-0111",
"fax_number": "561-432-1075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1903 S CONGRESS AVE STE 100",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334266553",
"telephone_number": "561-432-0111",
"fax_number": "561-432-1075"
}
],
"practiceLocations": [
{
"address_1": "22 SW 4th Ave",
"address_2": "apt c",
"address_purpose": "LOCATION",
"city": "Delray Beach",
"state": "FL",
"postal_code": "334442506",
"country_code": "US",
"telephone_number": "561-573-4293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROQUE",
"first_name": "MELISSA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-10",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT88830",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "PT28830",
"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 Jun 26, 2024; 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.