Individual provider Active NPI

Darlenzy Darbouze, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1770800880
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031590 Issued in NY
Practice address
95 Wall St
1004
New York, NY 10005-4201
Phone
(917) 977-1550
Fax
(800) 635-2303
NPI assigned
Apr 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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 031590 NY Primary

Addresses

Primary practice location

95 Wall St
1004
New York, NY 10005-4201

Mailing address

95 Wall St
1004
New York, NY 10005-4201
Phone (917) 977-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101129000003 NY Practitioner - Physical Therapist in Private Practice 8628264058 Reassigns benefits to 1 organization
I20220818000769 FL Practitioner - Physical Therapist in Private Practice 8628264058 Reassigns benefits to 1 organization
Practice locations: Davie, FL

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2700 W Cypress Creek Rd
Suite C100
Fort Lauderdale, FL 33309-1741
Phone (954) 974-3111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince Aug 5, 2022 Accepting new patients
Eternity Physical Therapeutics CurrentSince Jan 2, 2022 Accepting new patients
Central Palm Beach Physicians & Urgent Care, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Central Palm Beach Physicians & Urgent Care Inc CurrentSince Mar 1, 2024 Accepting new patients
Roots Mindful Acupuncture PLLC Past Accepting new patients
Ronald S Smith OD PA Past Accepting new patients

Locations

2700 W Cypress Creek Rd
Ste C100
Ft Lauderdale, FL 33309
Phone (954) 974-3111

1380 N University Dr
Ste 103
Plantation, FL 33322
Phone (954) 975-1111

4623 Forest Hill Blvd
Ste 101
West Palm Beach, FL 33415
Phone (561) 966-7194

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1770800880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WALL ST",
            "address_2": "1004",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100054201",
            "telephone_number": "917-977-1550",
            "fax_number": "800-635-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WALL ST",
            "address_2": "1004",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100054201",
            "telephone_number": "917-977-1550",
            "fax_number": "800-635-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARBOUZE",
        "first_name": "DARLENZY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.