Individual provider Active NPI

Robin Tricia Goode Podlasek, DPT

  • Physical Therapist
  • Jupiter, FL
National Provider Identifier
1417215211
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26009 Issued in FL
Practice address
601 Heritage Dr
Ste 150
Jupiter, FL 33458-2777
Phone
(561) 623-1277
Fax
(561) 277-2514
NPI assigned
Apr 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 26009 FL Primary

Addresses

Primary practice location

601 Heritage Dr
Ste 150
Jupiter, FL 33458-2777

Mailing address

601 Heritage Dr
Ste 150
Jupiter, FL 33458-2777
Phone (561) 623-1277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120801000332 FL Practitioner - Physical Therapist in Private Practice 0446286173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Maryland School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Royal Palm Beach Rehab, CorpGroup PAC ID 3476683335, 62 clinicians

Practice addresses (Care Compare)

106 Ponce de Leon St
Royal Palm Beach, FL 33411-1213
Phone (561) 799-9090

Merit-based Incentive Payment System (MIPS)

Final score
29.16 of 100Reported as group
Quality
0
Promoting interoperability
59
Improvement activities
0
Cost
48.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26009FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Palm Beach Rehab, Corp Physical Therapist CurrentSince Mar 13, 2019 Accepting new patients
Royal Palm Beach Rehab, Corp Physical Therapist CurrentSince Mar 13, 2019 Accepting new patients
Action Physical Therapy, LLC Physical Therapist CurrentSince Jan 25, 2019 Accepting new patients
Calvert Physical Therapy and Sports Fitness Ctr. Physical Therapist Past Accepting new patients
Orthopaedic and Sports Medicine Center LLC Past Accepting new patients
Orthopaedic and Sports Medicine Center LLC Past Accepting new patients

Locations

4971 Le Chalet Blvd
Ste 100
Boynton Beach, FL 33436
Phone (561) 733-5590

6415 Lake Worth Rd
Ste 309
Greenacres, FL 33463
Phone (561) 318-7432

106 Ponce de Leon St
Royal Palm Beach, FL 33411
Phone (561) 236-3741

1047 S State Road 7
Ste 100
Wellington, FL 33414
Phone (561) 733-5590

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1417215211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 HERITAGE DR",
            "address_2": "STE 150",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582777",
            "telephone_number": "561-623-1277",
            "fax_number": "561-277-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HERITAGE DR",
            "address_2": "STE 150",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582777",
            "telephone_number": "561-623-1277",
            "fax_number": "561-277-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODE PODLASEK",
        "first_name": "ROBIN",
        "middle_name": "TRICIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "26009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.

Verify at the official NPI Registry.