Individual provider Active NPI

Pamela Gaviria Buchanan

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1417550229
Registry record updated Nov 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36155 Issued in FL
Practice address
20401 State Road 7 Ste G9
Boca Raton, FL 33498-6773
Phone
(561) 482-8422
NPI assigned
Nov 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2025

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 PT36155 FL Primary

Addresses

Primary practice location

20401 State Road 7 Ste G9
Boca Raton, FL 33498-6773

Mailing address

2970 Deer Creek Country Club Blvd
Deerfield Beach, FL 33442-7935

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251107003646 FL Practitioner - Physical Therapist in Private Practice 0941790893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Nova Southeastern College of Osteo Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

180 John F Kennedy Dr
Suite 100
Atlantis, FL 33462-6641

682 SW Gailbreath Ave
Port Saint Lucie, FL 34953-7604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT36155FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Center of Palm Beach County, LLC CurrentSince Oct 30, 2025 Accepting new patients
Orthopedic Center of Palm Beach County CurrentSince Oct 30, 2025 Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients
Rehabclinics SPT Inc Physical Therapist PastSince Nov 22, 2020 Accepting new patients

Locations

10275 Hagen Ranch Rd
Ste 200
Boynton Beach, FL 33437
Phone 5619676500 ext. 1324

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: pamela.gaviria.1@26475.direct.athenahealth.com

Organizations & group practices 4

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": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762560000000",
    "number": "1417550229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 DEER CREEK COUNTRY CLUB BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20401 STATE ROAD 7 STE G9",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986773",
            "telephone_number": "561-482-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "PAMELA",
        "middle_name": "GAVIRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2025-11-08",
        "certification_date": "2025-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2025; 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.