Active NPI
Tom J Segal, PT
- Physical Therapist
- Boca Raton, FL
National Provider Identifier
1508886599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0004449
- Practice address
- 9045 La Fontana Blvd
Suite B-113
Boca Raton, FL 33434-5636 - Phone
- (561) 482-8007
- Fax
- (561) 451-2365
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0004449 | FL | Primary |
Addresses
Primary practice location
9045 La Fontana Blvd
Suite B-113
Boca Raton, FL 33434-5636
Mailing address
9045 La Fontana Blvd
Suite B-113
Boca Raton, FL 33434-5636
Phone (561) 482-8007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9045 La Fontana Blvd
Suite 113
Boca Raton, FL 33434-5640
Phone (561) 482-8007
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0004449 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tom Segal Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
9045 La Fontana Blvd
Ste 113
Boca Raton, FL 33434
Phone (561) 482-8007
5162 Linton Blvd
Ste 105
Delray Beach, FL 33484
Phone (561) 637-4539
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.
-
- Physical Therapist
- Boca Raton, FL
- NPI 1083800775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333411200000",
"number": "1508886599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9045 LA FONTANA BLVD",
"address_2": "SUITE B-113",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334345636",
"telephone_number": "561-482-8007",
"fax_number": "561-451-2365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9045 LA FONTANA BLVD",
"address_2": "SUITE B-113",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334345636",
"telephone_number": "561-482-8007",
"fax_number": "561-451-2365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGAL",
"first_name": "TOM",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2012-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "0004449",
"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 3, 2012; 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.