NPIMap

Organization Active NPI

Van Pelt & Associates Physical Therapy Services PA

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1619018504
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VAN PELT & ASSOCIATES PHYSICAL THERAPY SERVICES PA
Practice address
3848 Fau Blvd
Ste 105
Boca Raton, FL 33431-6437
Phone
(561) 395-2920
Fax
(561) 997-8929
NPI assigned
Feb 12, 2007
Last updated
Dec 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
Mr. Dana M Van Pelt, PTNPI 1023224516
Title
President
Phone
(561) 395-2920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

3848 Fau Blvd
Ste 105
Boca Raton, FL 33431-6437

Mailing address

3848 Fau Blvd Ste 105
Boca Raton, FL 33431-6437
Phone (561) 395-2920

Other identifiers 1

IdentifierTypeStateIssuer
Y915VOtherFLBCBS OF FL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081217000403 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1951463454 Receives reassigned benefits from 22 practitioners
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

21737 State Road 7
Boca Raton, FL 33428
Phone (561) 395-2920

3650 Club Pl
Boca Raton, FL 33496
Phone (561) 395-2920

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1619018504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 FAU BLVD STE 105",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316437",
            "telephone_number": "561-395-2920",
            "fax_number": "561-395-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3848 FAU BLVD",
            "address_2": "STE 105",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316437",
            "telephone_number": "561-395-2920",
            "fax_number": "561-997-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN PELT & ASSOCIATES PHYSICAL THERAPY SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "VAN PELT",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-395-2920",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "Y915V",
            "state": "FL"
        }
    ],
    "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 Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.