Active NPI
Faith Pelle
- Pediatric Physical Therapist
- West Palm Beach, FL
National Provider Identifier
1619650462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- Practice address
- 5589 Okeechobee Blvd Ste 205
West Palm Beach, FL 33417-4486 - Phone
- (561) 376-2573
- NPI assigned
- Aug 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | Primary |
Addresses
Primary practice location
5589 Okeechobee Blvd Ste 205
West Palm Beach, FL 33417-4486
Mailing address
821 Delmar Way Apt 307
Delray Beach, FL 33483-3377
Phone (631) 379-6929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- State University of New York at Stony Brook, School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1019 Physicians Dr
Charleston, SC 29414-5746
Phone (843) 790-4515
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joint Effort Movement Center | Pediatrics | Current | Accepting new patients |
Locations
1019 Physicians Dr
Charleston, SC 29414
Phone (843) 571-5366
1019 Physicians Dr
Unit C
Charleston, SC 29414
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1619650462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 DELMAR WAY APT 307",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334833377",
"telephone_number": "631-379-6929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5589 OKEECHOBEE BLVD STE 205",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334174486",
"telephone_number": "561-376-2573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLE",
"first_name": "FAITH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-09",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.