Active NPI
Teresa Boylan
- Specialist
- Boynton Beach, FL
National Provider Identifier
1568599181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT20171
- Practice address
- 7410 Boynton Beach Blvd
Suite A11
Boynton Beach, FL 33437-6156 - Phone
- (561) 731-0163
- Fax
- (561) 731-1886
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | PT20171 | FL | Primary |
Addresses
Primary practice location
7410 Boynton Beach Blvd
Suite A11
Boynton Beach, FL 33437-6156
Mailing address
6792 Red Reef St
Lake Worth, FL 33467-7648
Phone (561) 434-3482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT20171 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568599181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6792 RED REEF ST",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334677648",
"telephone_number": "561-434-3482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7410 BOYNTON BEACH BLVD",
"address_2": "SUITE A11",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334376156",
"telephone_number": "561-731-0163",
"fax_number": "561-731-1886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLAN",
"first_name": "TERESA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "PT20171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.