Active NPI
Dori Fern Barenholtz, P.T.
- Geriatric Physical Therapist
- Boca Raton, FL
National Provider Identifier
1629252697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 12771
- Practice address
- 9250 Glades Rd Ste 106
Boca Raton, FL 33434-3958 - Phone
- (561) 482-4300
- Fax
- (561) 482-8855
- NPI assigned
- Dec 26, 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 12771 | FL | Primary |
Addresses
Primary practice location
9250 Glades Rd Ste 106
Boca Raton, FL 33434-3958
Mailing address
9250 Glades Rd Ste 106
Boca Raton, FL 33434-3958
Phone (561) 482-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12771 | Other | FL | PHYSICAL THERAPY LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12771 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1629252697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9250 GLADES RD STE 106",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334343958",
"telephone_number": "561-482-4300",
"fax_number": "561-482-8855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9250 GLADES RD STE 106",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334343958",
"telephone_number": "561-482-4300",
"fax_number": "561-482-8855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARENHOLTZ",
"first_name": "DORI",
"middle_name": "FERN",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-26",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "FL",
"license": "12771",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "12771",
"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 Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.