Individual provider Active NPI

Paul Whritenour

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1689783854
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
20401 State Road 7
G 5/6
Boca Raton, FL 33498-6794
Phone
(561) 482-8422
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

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 Primary

Addresses

Primary practice location

20401 State Road 7
G 5/6
Boca Raton, FL 33498-6794

Mailing address

3215 S Ocean Blvd
Apt 103
Highland Beach, FL 33487-2505
Phone (407) 493-0695

Other identifiers 1

IdentifierTypeStateIssuer
PT19496OtherFLLICENSE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241125000553 FL Practitioner - Physical Therapist in Private Practice 6305371642 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evolution Rehab Group LLC Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients

Locations

7950 Dani Dr
#1402
Fort Myers, FL 33966
Phone (561) 900-2423

Organizations & group practices 1

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689783854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 S OCEAN BLVD",
            "address_2": "APT 103",
            "city": "HIGHLAND BEACH",
            "state": "FL",
            "postal_code": "334872505",
            "telephone_number": "407-493-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20401 STATE ROAD 7",
            "address_2": "G 5/6",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986794",
            "telephone_number": "561-482-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHRITENOUR",
        "first_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "PT19496",
            "state": "FL"
        }
    ],
    "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 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.