Physical Therapy in Your Home Indiana

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05005132A Issued in IN

Legal business name

PHYSICAL THERAPY IN YOUR HOME INDIANA

Practice address

400 S Dixie Hwy
120
Boca Raton, FL 33432-5518

Phone

(561) 368-3472

Fax

(561) 750-6849

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Edward J McCormack, PT

Title

Owner

Phone

(561) 189-2105

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720133259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S DIXIE HWY",
            "address_2": "120",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325518",
            "telephone_number": "561-368-3472",
            "fax_number": "561-750-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S DIXIE HWY",
            "address_2": "120",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325518",
            "telephone_number": "561-368-3472",
            "fax_number": "561-750-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY IN YOUR HOME INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-189-2105",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05005132A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physical Evidence Regen, LLC
• Physical Medicine & Acupuncture,P.a.
• Physical Rehab Training LLC
• Physical Therapy by Design LLC
• Physical Therapy in Your Home Inc
• Physical Therapy of Boca Raton Inc
• Physicians Group of Boca Raton
• Physicians Lab, Inc.
• Physicians Surgical Group of Boca
• Physioactive LLC

• Physical Therapist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.