Active NPI
Michael Thielen, PA
- Physician Assistant
- Weston, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9113500
- Practice address
- 1600 Town Center Blvd Ste C
Weston, FL 33326-3641 - Phone
- (954) 389-5900
- Fax
- (954) 389-5751
- NPI assigned
- Sep 8, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9113500 | FL | Primary |
Addresses
Primary practice location
1600 Town Center Blvd Ste C
Weston, FL 33326-3641
Mailing address
1608 Town Center Blvd Ste a
Weston, FL 33326-3639
Phone (954) 349-2345
Other practice location 1
9960 Central Park Blvd N Ste 150
Boca Raton, FL 33428-1760
Phone (561) 922-9112
Other practice location 2
17842 NW 2nd St
Pembroke Pines, FL 33029-2806
Phone (954) 430-9901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rehabclinics Pta Inc
Practice addresses (Care Compare)
1000 NE 56TH St
Fort Lauderdale, FL 33334-4149
Phone (954) 229-8608
1817 E Commercial Blvd
Ft Lauderdale, FL 33308-3767
Phone (954) 836-8980
21644 State Rd
Suite 7
Boca Raton, FL 33428-1842
Phone (561) 488-8000
901 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 844-6300
9960 Central Park Blvd N
Boca Raton, FL 33428-1760
Phone (561) 922-9112
Hospital & facility affiliations
- Working Nurses Homecare Palm Beach, LLC
- West Boca Medical Center
- Holy Cross Hospital
- Delray Medical Center
- Boca Raton Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PAT9113500 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot Ankle & Leg Specialists of South Florida Inc | Current | Accepting new patients | |
| Tenet Florida Physician Services LLC | Current | Accepting new patients | |
| Holy Cross Hospital, Inc | Current | Accepting new patients | |
| Tenet Florida Physician Services II, LLC | Current | Accepting new patients | |
| Holy Cross Hospital Inc | Current | Accepting new patients | |
| Tenet Florida Physician Services II, LLC | Physician Assistant | Past | Accepting new patients |
Locations
9960 Central Park Blvd N
Ste 150A
Boca Raton, FL 33428
Phone (561) 394-8443
5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166
1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608
17842 NW 2nd St
Pembroke Pines, FL 33029
Phone (954) 367-4000
220 SW 84th Ave
Ste 102
Plantation, FL 33324
Phone (954) 720-1530
1600 Town Center Blvd
Ste C
Weston, FL 33326
Phone (954) 389-5751
Interoperability endpoints
- michael.thielen.1@13023.direct.athenahealth.com
- mthielen2020019@direct.trinity-health.org
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- West Palm Beach, FL
- NPI 1912266420
Physician Assistant
-
- Internal Medicine Physician
- Ft. Lauderdale, FL
- NPI 1467401877
-
- Foot & Ankle Surgery Podiatrist
- Weston, FL
- NPI 1043269947
-
- Health & Wellness Coach
- Oakland Park, FL
- NPI 1063207595
-
- Durable Medical Equipment & Medical Supplies
- Boca Raton, FL
- NPI 1770391286
-
- Surgery Physician
- West Palm Beach, FL
- NPI 1659417467
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
-
- General Acute Care Hospital
- Delray Beach, FL
- NPI 1326078288
-
- General Acute Care Hospital
- Ft Lauderdale, FL
- NPI 1639197395
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1588697296
-
- Home Health Agency
- Boca Raton, FL
- NPI 1134986235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1659985679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 TOWN CENTER BLVD STE A",
"city": "WESTON",
"state": "FL",
"postal_code": "333263639",
"telephone_number": "954-349-2345",
"fax_number": "954-641-1086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 TOWN CENTER BLVD STE C",
"city": "WESTON",
"state": "FL",
"postal_code": "333263641",
"telephone_number": "954-389-5900",
"fax_number": "954-389-5751"
}
],
"practiceLocations": [
{
"address_1": "9960 Central Park Blvd N Ste 150",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334281760",
"country_code": "US",
"telephone_number": "561-922-9112",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17842 NW 2nd St",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330292806",
"country_code": "US",
"telephone_number": "954-430-9901",
"fax_number": "954-430-0608",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THIELEN",
"first_name": "MICHAEL",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-08",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9113500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.