Tclearypt LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TCLEARYPT LLC

Practice address

5617 Green Island Blvd
Lake Worth, FL 33463-7352

Phone

(561) 632-0207

NPI assigned

Oct 3, 2017

Organization subpart

No

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

Authorized official

Name

Timothy Cleary, P.T.NPI 1649306812

Title

President

Phone

(561) 632-0207

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy P Cleary, PT

  • Physical Therapist
  • Lake Worth, FL
  • NPI 1649306812
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1689184764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5617 GREEN ISLAND BLVD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637352",
            "telephone_number": "561-632-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5617 GREEN ISLAND BLVD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637352",
            "telephone_number": "561-632-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCLEARYPT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "CLEARY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-632-0207",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Kimberly Taylor, LMT
• Iner Daram Taylor, PHARM. D.
• Lytoya Taylor
• Max Taylor, PHARM D.
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• Mendy N Telne

• Physical Therapist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.