Active NPI
Anna H. Resnick, PT
- Physical Therapist
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9978
- Practice address
- 812 Glouchester St
Boca Raton, FL 33487-3212 - Phone
- (305) 934-7498
- NPI assigned
- Jun 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9978 | MA | Primary |
| Physical Therapist | 225100000X | PT23964 | FL |
Addresses
Primary practice location
812 Glouchester St
Boca Raton, FL 33487-3212
Mailing address
812 Glouchester St
Boca Raton, FL 33487-3212
Phone (305) 934-7498
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0721026 | Medicaid | MA | |
| 001528900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT23964 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medpro Home Care Solutions, LLC | Current | Accepting new patients | |
| Metropolitan Home Care LLC | Past | Accepting new patients | |
| RMG Home Care, Inc | Past | Accepting new patients | |
| South Florida Pain Clinic, LLC | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Medpro Home Care Solutions LLC | Home health agency | 5% Or Greater Indirect Ownership Interest (100%) | Sep 1, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Salem, MA
- NPI 1972337681
5% Or Greater Indirect Ownership Interest
Organizations & group practices 5
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.
-
- Physical Therapist
- Swampscott, MA
- NPI 1518118991
-
- Home Health Agency
- Salem, MA
- NPI 1972337681
-
- Specialist
- Hallandale Beach, FL
- NPI 1609000231
-
- Home Health Agency
- Newton, MA
- NPI 1023376886
-
- Home Health Agency
- Southbridge, MA
- NPI 1902044415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1740449107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 GLOUCHESTER ST",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334873212",
"telephone_number": "305-934-7498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 GLOUCHESTER ST",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334873212",
"telephone_number": "305-934-7498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESNICK",
"first_name": "ANNA",
"middle_name": "H.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "9978",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT23964",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0721026",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001528900",
"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 Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.