Organization Active NPI

Boca Sports Therapy Inc

  • Sports Medicine (Internal Medicine) Physician
  • Boca Raton, FL
National Provider Identifier
1780076695
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
Legal business name
BOCA SPORTS THERAPY INC
Practice address
851 Meadows Rd
Ste 212
Boca Raton, FL 33486-2348
Phone
(561) 347-6682
NPI assigned
Mar 2, 2015
Last updated
Mar 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Dr. Bruce Michael Fischer, DCNPI 1356350367
Title
Pres
Phone
(561) 347-6682

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) Physician 207RS0010X Primary

Addresses

Primary practice location

851 Meadows Rd
Ste 212
Boca Raton, FL 33486-2348

Mailing address

851 Meadows Rd
Ste 212
Boca Raton, FL 33486-2348
Phone (561) 347-6682

National Provider Directory

National Provider Directory

Locations

851 Meadows Rd
Ste 212
Boca Raton, FL 33486
Phone (561) 320-4355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1780076695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 MEADOWS RD",
            "address_2": "STE 212",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862348",
            "telephone_number": "561-347-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 MEADOWS RD",
            "address_2": "STE 212",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862348",
            "telephone_number": "561-347-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA SPORTS THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "561-347-6682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.