Active NPI
Moniesha Ambika Bhola, DPT
- Physical Therapist
- Lake Worth, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT44048
- Practice address
- 6169 S Jog Rd Ste A11
Lake Worth, FL 33467-6586 - Phone
- (561) 432-0111
- Fax
- (561) 432-1075
- NPI assigned
- Jan 26, 2026
- 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 | PT44048 | FL | Primary |
Addresses
Primary practice location
6169 S Jog Rd Ste A11
Lake Worth, FL 33467-6586
Mailing address
5840 Corporate Way Ste 101
West Palm Beach, FL 33407-2040
Phone (561) 432-0111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4445 SW 151St PL
Ocala, FL 34473-2667
5840 Corporate Way
Suite 101
West Palm Beach, FL 33407-2040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT44048 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gold Coast Physical Therapy Associates LLC | Current | Accepting new patients | |
| Gold Coast Physical Therapy Associates LLC | Current | Accepting new patients |
Locations
6169 S Jog Rd
Ste A11
Lake Worth, FL 33467
Phone 5614320111 ext. 1004
5840 Corporate Way
Ste 101
West Palm Beach, FL 33407
Phone (561) 852-7352
Organizations & group practices 3
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.
-
dba Fyzical Therapy & Balance Centers
- Physical Therapy Clinic/Center
- Lake Worth, FL
- NPI 1114026523
-
- Physical Therapy Clinic/Center
- Boca Raton, FL
- NPI 1316714850
-
dba Fyzical Therapy & Balance Centers
- Physical Therapy Clinic/Center
- Lake Worth, FL
- NPI 1598847899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1659220424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5840 CORPORATE WAY STE 101",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072040",
"telephone_number": "561-432-0111",
"fax_number": "561-432-1075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6169 S JOG RD STE A11",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334676586",
"telephone_number": "561-432-0111",
"fax_number": "561-432-1075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHOLA",
"first_name": "MONIESHA",
"middle_name": "AMBIKA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-26",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT44048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.