Individual provider Active NPI

Dale Raymond Marhefka

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1538817549
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35443 Issued in FL
Practice address
1840 N Dixie Hwy
Boca Raton, FL 33432-1845
Phone
(561) 961-4726
NPI assigned
Mar 17, 2022
Last updated
Mar 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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 PT35443 FL Primary

Addresses

Primary practice location

1840 N Dixie Hwy
Boca Raton, FL 33432-1845

Mailing address

5 Crest Dr
Westford, MA 01886-2433
Phone (949) 244-8088

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220404002829 FL Practitioner - Physical Therapist in Private Practice 4082000807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuro Physical Therapy and Sports Medicine LLCGroup PAC ID 0345668216, 5 clinicians

Practice addresses (Care Compare)

1840 N Dixie Hwy
Boca Raton, FL 33432-1845
Phone (561) 563-4846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT35443FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Physical Therapy & Sports Medicine LLC Physical Therapist CurrentSince Mar 26, 2022 Accepting new patients
Neuro Physical Therapy & Sports Medicine II, LLC Physical Therapist PastSince Apr 21, 2024 Accepting new patients

Locations

1840 N Dixie Hwy
Boca Raton, FL 33432
Phone (561) 563-4846

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1538817549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CREST DR",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018862433",
            "telephone_number": "949-244-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 N DIXIE HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321845",
            "telephone_number": "561-961-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARHEFKA",
        "first_name": "DALE",
        "middle_name": "RAYMOND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35443",
            "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 Mar 17, 2022; 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.