Individual provider Active NPI

Keith Garvin

  • Mechanotherapist
  • Boca Raton, FL
National Provider Identifier
1477040525
Registry record updated Apr 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
Practice address
500 NE Spanish River Blvd Ste 35
Boca Raton, FL 33431-4517
Phone
(561) 789-8953
NPI assigned
Apr 15, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X Primary

Addresses

Primary practice location

500 NE Spanish River Blvd Ste 35
Boca Raton, FL 33431-4517

Mailing address

2621 Crabapple Cir
Boynton Beach, FL 33436-6640
Phone (561) 789-8953

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Massage Therapy LLC Mechanotherapist CurrentSince Apr 18, 2018 Accepting new patients

Locations

500 NE Spanish River Blvd
Ste 35
Boca Raton, FL 33431
Phone (561) 338-5111

Organizations & group practices 1

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": "1523750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523750400000",
    "number": "1477040525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 CRABAPPLE CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334366640",
            "telephone_number": "561-789-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NE SPANISH RIVER BLVD STE 35",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314517",
            "telephone_number": "561-789-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVIN",
        "first_name": "KEITH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-15",
        "last_updated": "2018-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": null,
            "license": null,
            "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 Apr 15, 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.

Verify at the official NPI Registry.