Active NPI
Jose Joaquin Stable, PT,PTA.,LMT
- Physical Therapist
- Boynton Beach, FL
National Provider Identifier
1770683583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT32333
- Practice address
- 2602 N Federal Hwy
Boynton Beach, FL 33435-2413 - Phone
- (561) 738-6691
- Fax
- (561) 777-7878
- NPI assigned
- Sep 22, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA 18956 | FL | |
| Massage Therapist | 225700000X | MA35991 | FL | |
| Physical Therapist | 225100000X | PT32333 | FL | Primary |
Addresses
Primary practice location
2602 N Federal Hwy
Boynton Beach, FL 33435-2413
Mailing address
2602 N Federal Hwy
Boynton Beach, FL 33435-2413
Phone (561) 738-6691
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, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2602 N Federal Hwy
Boynton Beach, FL 33435-2413
Phone (561) 738-6691
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA 18956 | FL | MD | Physical Therapy Assistant |
| MA35991 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jose Stable Physiotherapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
2602 N Federal Hwy
Boynton Beach, FL 33435
Phone (561) 738-6691
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
- Boynton Beach, FL
- NPI 1427698463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487030400000",
"number": "1770683583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2602 N FEDERAL HWY",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334352413",
"telephone_number": "561-738-6691",
"fax_number": "561-777-7878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2602 N FEDERAL HWY",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334352413",
"telephone_number": "561-738-6691",
"fax_number": "561-777-7878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STABLE",
"first_name": "JOSE",
"middle_name": "JOAQUIN",
"credential": "PT,PTA.,LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2017-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA 18956",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA35991",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT32333",
"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 Feb 14, 2017; 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.