Individual provider Active NPI

Jennifer Helice Bursztein, P.T.

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1679834451
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT8942 Issued in FL
Practice address
17557 Claridge Oval W
Boca Raton, FL 33496-1336
Phone
(561) 451-4900
Fax
(561) 207-7853
NPI assigned
Jun 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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 PT8942 FL Primary

Addresses

Primary practice location

17557 Claridge Oval W
Boca Raton, FL 33496-1336

Mailing address

4768 S Classical Blvd
Delray Beach, FL 33445-1225
Phone (561) 901-7374

Other practice location 1

901 45th St
Kimmel Bldg
West Palm Beach, FL 33407-2413
Phone (561) 844-7878

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120806000341 FL Practitioner - Physical Therapist in Private Practice 1153577259 Reassigns benefits to 2 organizations

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
Renewed Physical Therapy LLCGroup PAC ID 2264793868, 2 clinicians

Practice addresses (Care Compare)

17557 Claridge Oval W
Boca Raton, FL 33496-1336
Phone (954) 609-6432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Aquatics & Physical Therapy Inc Physical Therapist CurrentSince Mar 24, 2013 Accepting new patients
Renewed Physical Therapy LLC Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients
Mote Wellness & Rehab Inc PastSince Jun 1, 2009 Accepting new patients
Recovercarept Inc Past Accepting new patients

Locations

17557 Claridge Oval W
Boca Raton, FL 33496
Phone (561) 451-4900

3111 W Boynton Beach Blvd
Ste 200
Boynton Beach, FL 33436
Phone (561) 742-3283

3111 W Boynton Beach Blvd
Ste 20000
Boynton Beach, FL 33436
Phone (561) 865-2800

5130 Linton Blvd
Ste H1
Delray Beach, FL 33484
Phone (561) 498-8891

Organizations & group practices 4

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": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1679834451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4768 S CLASSICAL BLVD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334451225",
            "telephone_number": "561-901-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17557 CLARIDGE OVAL W",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961336",
            "telephone_number": "561-451-4900",
            "fax_number": "561-207-7853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 45th St",
            "address_2": "Kimmel Bldg",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334072413",
            "country_code": "US",
            "telephone_number": "561-844-7878",
            "fax_number": "561-844-5272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURSZTEIN",
        "first_name": "JENNIFER",
        "middle_name": "HELICE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT8942",
            "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 Mar 21, 2022; 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.