Mariem M Banoub, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT28015 Issued in FL

Practice address

6415 Lake Worth Rd Ste 309
Greenacres, FL 33463-2907

Phone

(561) 318-7432

Fax

(561) 429-8983

NPI assigned

Mar 8, 2013

Last updated

Apr 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Royal Palm Beach Rehab, CorpGroup PAC ID 3476683335, 62 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

29.16 of 100Reported as group

Quality

0

Promoting interoperability

59

Improvement activities

0

Cost

48.04

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Royal Palm Beach Rehab, Corp

  dba Action Physical Therapy

  • Chiropractor
  • Royal Palm Beach, FL
  • NPI 1861724783

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Action Physical Therapy, LLC

  • Physical Therapist
  • Royal Palm Beach, FL
  • NPI 1093956302
  Medicare reassignment NPD
• Action Physical Therapy, LLC

  • Physical Therapist
  • Fort Lauderdale, FL
  • NPI 1730621863
  NPD
• Action Physical Therapy, LLC

  • Physical Therapist
  • Port Saint Lucie, FL
  • NPI 1881097640
  NPD
• Royal Palm Beach Rehab, Corp

  dba Action Physical Therapy

  • Physical Therapist
  • Davie, FL
  • NPI 1255741187
  NPD
• Royal Palm Beach Rehab, Corp

  • Chiropractor
  • Miami, FL
  • NPI 1891668182

  Physical Therapist

  NPD

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1730420274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4971 LE CHALET BLVD STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6415 LAKE WORTH RD STE 309",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632907",
            "telephone_number": "561-318-7432",
            "fax_number": "561-429-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANOUB",
        "first_name": "MARIEM",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-08",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT28015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Backof, M.S. CF-SLP
• Benson P Bagasan, PT
• Etty Baker, MS,RD, LD/N
• Kerwin Ronald Baldeosingh, APRN FNP-C
• Christian Balkcom, DC
• Norma Iris Barbosa Rivera, MD
• Maidy Carenia Barrera Gonzalez
• Hildebrando Barreto, D.D.S
• Cesar Lazaro Batista Robaina
• BBM Motion Therapy, Inc.

• Physical Therapist in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.