Individual provider Active NPI

Lauren Isaacson, DPT

  • Physical Therapist
  • Boynton Beach, FL
National Provider Identifier
1760180806
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29580 Issued in FL
Practice address
10275 Hagen Ranch Rd Ste 200
Boynton Beach, FL 33437-3784
Phone
(561) 867-4262
NPI assigned
Feb 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT29580 FL Primary

Addresses

Primary practice location

10275 Hagen Ranch Rd Ste 200
Boynton Beach, FL 33437-3784

Mailing address

11922 Waterwood Dr
Boca Raton, FL 33428-1026
Phone (530) 966-4789

Other names 1

  • Lauren Doherty Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230620000673 FL Practitioner - Physical Therapist in Private Practice 8022476357 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Broward Chiropractic and Wellness CenterGroup PAC ID 5991985863, 2 clinicians
Beyond Basics Physical Therapy LLCGroup PAC ID 0143542860, 9 clinicians

Practice addresses (Care Compare)

6550 N State Rd
Suite 7
Coconut Creek, FL 33073-3624
Phone (954) 426-1100

7201 Addison Reserve Blvd
Delray Beach, FL 33446-2340
Phone (561) 350-5968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT29580FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Broward Chiropractic and Wellness Center CurrentSince Aug 29, 2024 Accepting new patients
Beyond Basics Physical Therapy, LLC Physical Therapist CurrentSince Jan 20, 2025 Accepting new patients

Locations

6550 N State Road 7
Coconut Creek, FL 33073
Phone (954) 426-1100

7201 Addison Reserve Blvd
Delray Beach, FL 33446
Phone (561) 350-5968

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1760180806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11922 WATERWOOD DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281026",
            "telephone_number": "530-966-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10275 HAGEN RANCH RD STE 200",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373784",
            "telephone_number": "561-867-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACSON",
        "first_name": "LAUREN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT29580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "DOHERTY",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 17, 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.