Active NPI
Garrett G Tubman, DPT
- Physical Therapist
- Boynton Beach, FL
National Provider Identifier
1760049282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT34284
- Practice address
- 3111 W Boynton Beach Blvd Ste 100
Boynton Beach, FL 33436-4613 - Phone
- (561) 742-3283
- NPI assigned
- May 20, 2019
- 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 | PT34284 | FL | Primary |
Addresses
Primary practice location
3111 W Boynton Beach Blvd Ste 100
Boynton Beach, FL 33436-4613
Mailing address
6770 Congress Ave Apt 207
Boca Raton, FL 33487-1470
Phone (561) 613-3915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT34284 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mote Wellness & Rehab Inc | Past | Accepting new patients |
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.
-
- Chiropractor
- Boynton Beach, FL
- NPI 1326011917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558310400000",
"number": "1760049282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6770 CONGRESS AVE APT 207",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334871470",
"telephone_number": "561-613-3915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3111 W BOYNTON BEACH BLVD STE 100",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334364613",
"telephone_number": "561-742-3283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUBMAN",
"first_name": "GARRETT",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-20",
"last_updated": "2019-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT34284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.