Organization Active NPI

At Home Physical Therapy, P.a.

  • Physical Therapy Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1619417037
Registry record updated Jun 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT32285 Issued in FL
Legal business name
AT HOME PHYSICAL THERAPY, P.A.
Practice address
18083 Clear Brook Cir
Boca Raton, FL 33498-1941
Phone
(844) 978-2466
Fax
(561) 922-1920
NPI assigned
Mar 3, 2017
Last updated
Jun 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2017

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

Authorized official

Name
Nicola Cavallo, PT,DPT,CDENPI 1639307770
Title
President
Phone
(844) 978-2466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT32285 FL Primary

Addresses

Primary practice location

18083 Clear Brook Cir
Boca Raton, FL 33498-1941

Mailing address

18083 Clear Brook Cir
Boca Raton, FL 33498-1941
Phone (844) 978-2466

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497830400000",
    "number": "1619417037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18083 CLEAR BROOK CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334981941",
            "telephone_number": "844-978-2466",
            "fax_number": "561-922-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18083 CLEAR BROOK CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334981941",
            "telephone_number": "844-978-2466",
            "fax_number": "561-922-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME PHYSICAL THERAPY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-06-19",
        "status": "A",
        "authorized_official_last_name": "CAVALLO",
        "authorized_official_first_name": "NICOLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-978-2466",
        "authorized_official_credential": "PT,DPT,CDE"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT32285",
            "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 Jun 19, 2017; 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.