Active NPI
Joseph Eugene Gillespie, MSPT
- Physical Therapist
- Boca Raton, FL
National Provider Identifier
1750574877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT19896
- Practice address
- 5400 Champion Blvd
Boca Raton, FL 33496-1607 - Phone
- (561) 912-1014
- Fax
- (561) 955-1222
- NPI assigned
- Aug 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT19896 | FL | Primary |
Addresses
Primary practice location
5400 Champion Blvd
Boca Raton, FL 33496-1607
Mailing address
5030 Champion Blvd
Suite G11-279
Boca Raton, FL 33496-2473
Phone (561) 912-1014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5030 Champion Blvd
Suite G11 279
Boca Raton, FL 33496-1607
7134 Boca Pointe Dr
Boca Raton, FL 33433-5908
Phone (561) 955-9384
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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
- Boca Raton, FL
- NPI 1750317160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343606400000",
"number": "1750574877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5030 CHAMPION BLVD",
"address_2": "SUITE G11-279",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334962473",
"telephone_number": "561-912-1014",
"fax_number": "561-955-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 CHAMPION BLVD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334961607",
"telephone_number": "561-912-1014",
"fax_number": "561-955-1222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLESPIE",
"first_name": "JOSEPH",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-22",
"last_updated": "2012-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT19896",
"primary": true
}
],
"identifiers": [],
"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 Jul 30, 2012; 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.