Individual provider Active NPI

Jennifer Wells Brown, PT

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1669525036
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT31345 Issued in FL
Practice address
5030 Champion Blvd Ste D9
Boca Raton, FL 33496-2497
Phone
(561) 432-0111
Fax
(561) 432-1075
NPI assigned
Jan 19, 2007
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT31345 FL Primary

Addresses

Primary practice location

5030 Champion Blvd Ste D9
Boca Raton, FL 33496-2497

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

Enrollment IDStateProvider typePAC IDDetails
I20161201001861 FL Practitioner - Physical Therapist in Private Practice 9335274943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6169 S Jog Rd
Suite A11
Lake Worth, FL 33467-6586
Phone (561) 432-0111

7431 Atlantic Ave
Suite 52
Delray Beach, FL 33446-3506
Phone (561) 432-0111

951 Broken Sound Pkwy NW
Suite 190
Boca Raton, FL 33487-3505
Phone (561) 432-0111

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Coast Physical Therapy Associates LLC Physical Therapist CurrentSince Jun 30, 2024 Accepting new patients
Gold Coast Physical Therapy Associates LLC CurrentSince Jul 13, 2016 Accepting new patients
Gold Coast Physical Therapy Associates LLC CurrentSince Jul 13, 2016 Accepting new patients
Gold Coast Physical Therapy Associates, LLC PastSince Jun 30, 2024 Accepting new patients
Walker Therapy Services Physical Therapist PastSince May 11, 2006 Accepting new patients

Locations

5030 Champion Blvd
Ste D9
Boca Raton, FL 33496

951 Broken Sound Pkwy NW
Ste 190
Boca Raton, FL 33487

6169 S Jog Rd
Lake Worth, FL 33467
Phone (561) 223-8024

6169 S Jog Rd
Ste A11
Lake Worth, FL 33467
Phone (561) 331-3636

4714 Okeechobee Blvd
West Palm Beach, FL 33417
Phone (561) 640-7505

5840 Corporate Way
Ste 101
West Palm Beach, FL 33407
Phone (561) 852-7352

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1669525036",
    "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": "5030 CHAMPION BLVD STE D9",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962497",
            "telephone_number": "561-432-0111",
            "fax_number": "561-432-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JENNIFER",
        "middle_name": "WELLS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT31345",
            "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 Jun 26, 2024; 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.

Verify at the official NPI Registry.