Individual provider Active NPI

Carline Ofelus

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1720758014
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
43094 Issued in FL
Practice address
6430 NE 18TH Ave Apt 9
Fort Lauderdale, FL 33334-5157
Phone
(305) 332-4830
NPI assigned
Sep 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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 43094 FL Primary

Addresses

Primary practice location

6430 NE 18TH Ave Apt 9
Fort Lauderdale, FL 33334-5157

Mailing address

5120 SW 40TH Ave Apt 21a
Fort Lauderdale, FL 33314-5746

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250703002132 FL Practitioner - Physical Therapist in Private Practice 9436663226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach Aquatics and Physical Therapy IncGroup PAC ID 9234184912, 8 clinicians

Practice addresses (Care Compare)

3111 W Boynton Beach Blvd
Suite 200.00
Boynton Beach, FL 33436-4613
Phone (561) 865-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
43094FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Aquatics & Physical Therapy Inc Physical Therapist CurrentSince May 19, 2025 Accepting new patients
Mote Wellness & Rehab Inc PastSince Jun 1, 2009 Accepting new patients

Locations

3111 W Boynton Beach Blvd
Ste 200
Boynton Beach, FL 33436
Phone (561) 742-3283

3111 W Boynton Beach Blvd
Ste 20000
Boynton Beach, FL 33436
Phone (561) 865-2800

Organizations & group practices 2

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": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1720758014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 SW 40TH AVE APT 21A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333145746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 NE 18TH AVE APT 9",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333345157",
            "telephone_number": "305-332-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFELUS",
        "first_name": "CARLINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "43094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.