Boynton Physical Medicine Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH4754 Issued in FL

Legal business name

BOYNTON PHYSICAL MEDICINE INC

Practice address

3379 W. Woolbright Road
Boynton Beach, FL 33436-7245

Phone

(561) 737-7334

Fax

(561) 336-3092

NPI assigned

Nov 7, 2012

Organization subpart

No

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

Authorized official

Name

Michael Barry Hirsch, D.C.

Title

President/Owner

Phone

(561) 737-7334

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1689928087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3379 W. WOOLBRIGHT ROAD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367245",
            "telephone_number": "561-737-7334",
            "fax_number": "561-336-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3379 W. WOOLBRIGHT ROAD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367245",
            "telephone_number": "561-737-7334",
            "fax_number": "561-336-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYNTON PHYSICAL MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "HIRSCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "561-737-7334",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4754",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10675",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "058450",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "058450",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "CH4754",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boynton Medical Group Inc
• Boynton Opco LLC
• Boynton Oral & Maxillofacial Surgery and Implant Center P a
• Boynton Oral Surgery and Implant Center PLLC
• Boynton Pain Management LLC
• Boynton Physicians Group LLC
• Boynton Primary Care, LLC
• Boynton Quality Medical Center
• Boynton Sport and Back Physical Therapy
• Boynton Wellness Center, LLC

• Chiropractor in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.