Spinal Therapy Medical Group FL

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTA17624 Issued in FL

Legal business name

SPINAL THERAPY MEDICAL GROUP FL

Practice address

433 Plaza Real
Suite 255
Boca Raton, FL 33432-3932

Phone

(561) 237-1717

Fax

(561) 237-1725

NPI assigned

Jul 12, 2007

Organization subpart

No

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

Authorized official

Name

Lori Weiser, PTA

Title

President

Phone

(561) 237-1717

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lori Vyrne, PTA

  • Physical Therapy Assistant
  • Boca Raton, FL
  • NPI 1013117589
  NPD (past)

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1750580460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 PLAZA REAL",
            "address_2": "SUITE 255",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323932",
            "telephone_number": "561-237-1717",
            "fax_number": "561-237-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 PLAZA REAL",
            "address_2": "SUITE 255",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323932",
            "telephone_number": "561-237-1717",
            "fax_number": "561-237-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL THERAPY MEDICAL GROUP FL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "WEISER",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-237-1717",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME51866",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PTA17624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME51866",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PTA17624",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT21956",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Speech-Langauge Therapy for Kids, Inc.
• Speech-Language Technologies
• Jonathan J Sperry, PHD, LMHC, LCSW
• Martin W. Spiegler, M.D.
• Jason Spielman, PSY.D.
• Spine and Joint Care of South Florida, LLC
• Spine and Joint Center of Boca Raton
• Eric Spinner
• Casandra Maria Spinosa
• Spirelli Healthcare of Palm Beach

• 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 Jul 23, 2007; 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.