Individual provider Active NPI

Gwendolyn Jean Boyd, PT

  • Physical Therapist
  • Lake Worth, FL
National Provider Identifier
1679770358
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5184 Issued in FL
Practice address
1602 N Lakeside Dr
Lake Worth, FL 33460-6610
Phone
(561) 207-0989
Fax
(561) 683-2875
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT5184 FL Primary

Addresses

Primary practice location

1602 N Lakeside Dr
Lake Worth, FL 33460-6610

Mailing address

1602 N Lakeside Dr
Lake Worth, FL 33460-6610
Phone (561) 207-0989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050613000093 FL Practitioner - Physical Therapist in Private Practice 2668416629 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT5184FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
F.I.T. PT, LLC Physical Therapist CurrentSince Oct 21, 2019 Accepting new patients
Wellness Rehab USA, Inc Physical Therapist CurrentSince Sep 17, 2014 Accepting new patients
Wellness Rehab USA Therapy Corp Physical Therapist CurrentSince Feb 10, 2026 Accepting new patients
In Home Rehab of Florida PLLC Physical Therapist CurrentSince Nov 25, 2019 Accepting new patients
Innovative Therapy Services Inc PastSince Apr 14, 2005 Accepting new patients

Locations

950 Peninsula Corporate Cir
Ste 3004
Boca Raton, FL 33487
Phone (561) 501-1983

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679770358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 N LAKESIDE DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334606610",
            "telephone_number": "561-207-0989",
            "fax_number": "561-683-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 N LAKESIDE DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334606610",
            "telephone_number": "561-207-0989",
            "fax_number": "561-683-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "GWENDOLYN",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT5184",
            "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.