Organization Active NPI

Palm Beach Therapy & Fitness Providers, Inc.

  • Physical Therapist
  • Wellington, FL
National Provider Identifier
1487015509
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PALM BEACH THERAPY & FITNESS PROVIDERS, INC.
Practice address
15682 Cypress Park Dr
Wellington, FL 33414-6356
Phone
(561) 676-1041
Fax
(561) 370-7034
NPI assigned
Mar 17, 2016
Last updated
Mar 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Authorized official

Name
Kathleen M. RiolinoNPI 1952756496
Title
President
Phone
(561) 676-1041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

15682 Cypress Park Dr
Wellington, FL 33414-6356

Mailing address

15682 Cypress Park Dr
Wellington, FL 33414-6356
Phone (561) 676-1041

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180313000192 FL Part B Supplier - Clinic/Group Practice 3274800123 Receives reassigned benefits from 2 practitioners
Practice locations: Lake Worth, FL

National Provider Directory

National Provider Directory
Tax ID family
Palm Beach Therapy Fitness Providers Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1487015509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15682 CYPRESS PARK DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146356",
            "telephone_number": "561-676-1041",
            "fax_number": "561-370-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15682 CYPRESS PARK DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146356",
            "telephone_number": "561-676-1041",
            "fax_number": "561-370-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH THERAPY & FITNESS PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "RIOLINO",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-676-1041"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.