Individual provider Active NPI

Boris Shapiro, PT

  • Physical Therapist
  • Miami Beach, FL
National Provider Identifier
1508055823
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT16909 Issued in FL
Practice address
420 Lincoln Rd
Suite 415
Miami Beach, FL 33139-3019
Phone
(305) 981-0609
Fax
(305) 867-6373
NPI assigned
Oct 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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 PT16909 FL Primary

Addresses

Primary practice location

420 Lincoln Rd
Suite 415
Miami Beach, FL 33139-3019

Mailing address

420 Lincoln Rd
Suite 415
Miami Beach, FL 33139-3019
Phone (305) 981-0609

Other identifiers 1

IdentifierTypeStateIssuer
Y7934OtherFLMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050525001083 FL Practitioner - Physical Therapist in Private Practice 2062454457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

420 Lincoln Rd
Miami Beach, FL 33139-3015

420 Lincoln Rd
Suite 415 and 412
Miami Beach, FL 33139-3031

420 Lincoln Rd
Suite 415And412
Miami Beach, FL 33139-3019
Phone (305) 981-0609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT16909FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bosh Physical Therapy, Inc. Physical Therapist CurrentSince May 10, 1999 Accepting new patients

Locations

420 Lincoln Rd
Ste 415
Miami Beach, FL 33139
Phone (305) 981-0609

420 Lincoln Rd
Ste 415412
Miami Beach, FL 33139
Phone (305) 981-0609

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": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1508055823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LINCOLN RD",
            "address_2": "SUITE 415",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393019",
            "telephone_number": "305-981-0609",
            "fax_number": "305-867-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 LINCOLN RD",
            "address_2": "SUITE 415",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393019",
            "telephone_number": "305-981-0609",
            "fax_number": "305-867-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "BORIS",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT16909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Y7934",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.