Active NPI
Temistocles Ruben Pozo, PT
- Physical Therapist
- Lake Worth, FL
National Provider Identifier
1790764140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT8467
- Practice address
- 6508 Blue Bay Cir
Lake Worth, FL 33467-7219 - Phone
- (561) 236-4523
- Fax
- (561) 478-9349
- NPI assigned
- Jan 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 | PT8467 | FL | Primary |
Addresses
Primary practice location
6508 Blue Bay Cir
Lake Worth, FL 33467-7219
Mailing address
6508 Blue Bay Cir
Lake Worth, FL 33467-7219
Phone (561) 236-4523
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y8774X | Other | FL | MEDICARE PTAN SENIOR FIRST |
| Y8774Y | Other | FL | MEDICARE PTAN CENTER FOR BALANCE, DIZZINESS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Beach Physical Therapy Group, LLC | Physical Therapist | Current | Accepting new patients |
| Vestbular Rehabilitation and Dizziness Center Inc | Past | Accepting new patients | |
| Center for Balance, Dizziness and Physical Therapy LLC | Past | Accepting new patients | |
| Physical Therapy in Your Home Inc | Past | Accepting new patients | |
| Trinity 5 Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 5
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 1639764962
-
- Medical Specialty Clinic/Center
- Boynton Beach, FL
- NPI 1649580341
-
- Physical Therapy Clinic/Center
- Boca Raton, FL
- NPI 1356353437
-
- Physical Therapist
- Boca Raton, FL
- NPI 1326665084
-
- Neurology Physical Therapist
- Wellington, FL
- NPI 1194069773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304640000000",
"number": "1790764140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6508 BLUE BAY CIR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334677219",
"telephone_number": "561-236-4523",
"fax_number": "561-478-9349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6508 BLUE BAY CIR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334677219",
"telephone_number": "561-236-4523",
"fax_number": "561-478-9349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POZO",
"first_name": "TEMISTOCLES",
"middle_name": "RUBEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2011-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT8467",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN SENIOR FIRST",
"identifier": "Y8774X",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN CENTER FOR BALANCE, DIZZINESS",
"identifier": "Y8774Y",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.