NPIMap

Organization Active NPI

Healthy Lifestyle Physical Therapy

  • Physical Therapist
  • Deerfield Beach, FL
National Provider Identifier
1528685666
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HEALTHY LIFESTYLE PHYSICAL THERAPY
Practice address
1000 E Hillsboro Blvd Ste 104
Deerfield Beach, FL 33441-3628
Phone
(917) 642-8865
NPI assigned
Jul 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
Dmitry Rutenberg, DPT
Title
President
Phone
(917) 642-8865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1000 E Hillsboro Blvd Ste 104
Deerfield Beach, FL 33441-3628

Mailing address

1000 E Hillsboro Blvd Ste 104
Deerfield Beach, FL 33441-3628
Phone (917) 642-8865

National Provider Directory

National Provider Directory

Locations

3200 S Congress Ave
Apt Physical
Boynton Beach, FL 33426
Phone (917) 642-8865

3200 S Congress Ave
Ste 104
Boynton Beach, FL 33426
Phone (561) 810-8513

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1528685666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E HILLSBORO BLVD STE 104",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334413628",
            "telephone_number": "917-642-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E HILLSBORO BLVD STE 104",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334413628",
            "telephone_number": "917-642-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIFESTYLE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-05",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "RUTENBERG",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-642-8865",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.