Active NPI
Haley C Bokros, DPT
- Physical Therapist
- Doral, FL
National Provider Identifier
1639770381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 8491 NW 17TH St Ste 110
Doral, FL 33126-1025 - Phone
- (305) 456-5542
- NPI assigned
- Nov 7, 2020
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
8491 NW 17TH St Ste 110
Doral, FL 33126-1025
Mailing address
8491 NW 17TH St Ste 110
Doral, FL 33126-1025
Phone (305) 456-5542
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT36506 | Other | FL | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | clinicsource |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604707200000",
"number": "1639770381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8491 NW 17TH ST STE 110",
"city": "DORAL",
"state": "FL",
"postal_code": "331261025",
"telephone_number": "305-456-5542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8491 NW 17TH ST STE 110",
"city": "DORAL",
"state": "FL",
"postal_code": "331261025",
"telephone_number": "305-456-5542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOKROS",
"first_name": "HALEY",
"middle_name": "C",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-07",
"last_updated": "2020-11-07",
"certification_date": "2020-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PT36506",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "clinicsource",
"affiliation": "N",
"address_1": "8491 NW 17th St Ste 110",
"city": "Doral",
"state": "FL",
"country_code": "US",
"postal_code": "331261025",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.