Organization Active NPI

Concierge Physical Therapy of Palm Beach, Inc

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1659862944
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25778 Issued in FL
Legal business name
CONCIERGE PHYSICAL THERAPY OF PALM BEACH, INC
Practice address
3350 NW Boca Raton Blvd Ste A24
Boca Raton, FL 33431-6609
Phone
(561) 289-5186
Fax
(561) 430-3616
NPI assigned
May 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Glenn Wogalter, DPTNPI 1770891368
Title
President
Phone
(561) 289-5186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT25778 FL Primary

Addresses

Primary practice location

3350 NW Boca Raton Blvd Ste A24
Boca Raton, FL 33431-6609

Mailing address

5475 Enclave Crossing Way Apt T1
Delray Beach, FL 33484-8198
Phone (561) 289-5186

National Provider Directory

National Provider Directory

Locations

3350 NW Boca Raton Blvd
Ste A24
Boca Raton, FL 33431
Phone (561) 447-2228

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1659862944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 ENCLAVE CROSSING WAY APT T1",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848198",
            "telephone_number": "561-289-5186",
            "fax_number": "561-430-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 NW BOCA RATON BLVD STE A24",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316609",
            "telephone_number": "561-289-5186",
            "fax_number": "561-430-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE PHYSICAL THERAPY OF PALM BEACH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "WOGALTER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-289-5186",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT25778",
            "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 May 23, 2018; 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.