NPIMap

Organization Active NPI

Physical Therapy by Design LLC

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1689687055
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL THERAPY BY DESIGN LLC
Practice address
1905 Clint Moore Rd
Suite 211, 102
Boca Raton, FL 33496-2658
Phone
(561) 994-0014
Fax
(561) 994-0059
NPI assigned
Aug 15, 2006
Last updated
May 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Authorized official

Name
Leslie Kaplan, PTNPI 1144233511
Title
Owner
Phone
(561) 994-0014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1905 Clint Moore Rd
Suite 211, 102
Boca Raton, FL 33496-2658

Mailing address

4177 NW 28TH Ave
Boca Raton, FL 33434-5834
Phone (561) 998-4676

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040922000582 FL Part B Supplier - Clinic/Group Practice 6608844170 Receives reassigned benefits from 30 practitioners
Practice locations: Parkland, FL; Boynton Beach, FL; Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

1905 Clint Moore Rd
Ste 102
Boca Raton, FL 33496
Phone (561) 994-0014

1905 Clint Moore Rd
Ste 211
Boca Raton, FL 33496
Phone (561) 893-6878

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1689687055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4177 NW 28TH AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345834",
            "telephone_number": "561-998-4676",
            "fax_number": "561-998-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD",
            "address_2": "SUITE 211, 102",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962658",
            "telephone_number": "561-994-0014",
            "fax_number": "561-994-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY BY DESIGN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-994-0014",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "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 May 18, 2010; 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.