Individual provider Active NPI

Valentyna Nesterova, PT

  • Physical Therapist
  • Lake Worth, FL
National Provider Identifier
1568628113
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23567 Issued in FL
Practice address
4801 S Congress Avenue
Lake Worth, FL 33461-4746
Phone
(954) 701-1287
NPI assigned
Aug 4, 2008
Last updated
Jul 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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 23567 FL Primary

Addresses

Primary practice location

4801 S Congress Avenue
Lake Worth, FL 33461-4746

Mailing address

12538 NW 57TH CT
Coral Springs, FL 33076-3469
Phone (954) 701-1287

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110817000571 FL Practitioner - Physical Therapist in Private Practice 6800065327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

141 NW 20TH St
Suite G
Boca Raton, FL 33431-7966
Phone (561) 757-6198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23567FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Strong Physical Therapy LLC Physical Therapist CurrentSince Dec 1, 2020 Accepting new patients
Ageless Body by New Science LLC CurrentSince Sep 1, 2024 Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients
Med Diagnostic Rehab of South Florida Inc Physical Therapist PastSince Jul 8, 2017 Accepting new patients

Locations

141 NW 20th St
Ste G
Boca Raton, FL 33431
Phone (561) 757-6198

141 NW 20th St
Ste G2
Boca Raton, FL 33431
Phone (561) 757-6198

2500 E Hallandale Beach Blvd
Ste 406
Hallandale Beach, FL 33009
Phone (718) 968-5637

2500 E Hallandale Beach Blvd
Ste 609
Hallandale Beach, FL 33009
Phone (646) 338-5913

Organizations & group practices 5

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": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1568628113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12538 NW 57TH CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763469",
            "telephone_number": "954-701-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S CONGRESS AVENUE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614746",
            "telephone_number": "954-701-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESTEROVA",
        "first_name": "VALENTYNA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "23567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.