Individual provider Active NPI

Dimitar Dimitrov, PT

  • Physical Therapist
  • Palm Beach Gardens, FL
National Provider Identifier
1801463591
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3944 Florida Blvd Ste 103
Palm Beach Gardens, FL 33410-2271
Phone
(561) 786-5788
NPI assigned
Jun 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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 Primary

Addresses

Primary practice location

3944 Florida Blvd Ste 103
Palm Beach Gardens, FL 33410-2271

Mailing address

1501 Eden Isle Blvd NE Apt 62
St Petersburg, FL 33704-1711
Phone (850) 313-6972

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250328001132 FL Practitioner - Physical Therapist in Private Practice 9830612043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Better Life Physical Therapy and Wellness, LLCGroup PAC ID 2365892288, 2 clinicians

Practice addresses (Care Compare)

3944 Florida Blvd
Suite 103
Palm Beach Gardens, FL 33410-2271
Phone (315) 523-5653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Better Life Physical Therapy & Wellness LLC Physical Therapist CurrentSince Feb 9, 2025 Accepting new patients
Palm Beach Vascular Institute LLC PastSince Jan 4, 2026 Accepting new patients
Ekren Physical Therapy Services Inc PastSince Jun 1, 2021 Accepting new patients
Nalin LLC Physical Therapist PastSince Jun 1, 2021 Accepting new patients

Locations

3944 Florida Blvd
Ste 103
Palm Beach Gardens, FL 33410
Phone (561) 567-8435

Organizations & group practices 4

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": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1801463591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 EDEN ISLE BLVD NE APT 62",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337041711",
            "telephone_number": "850-313-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3944 FLORIDA BLVD STE 103",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102271",
            "telephone_number": "561-786-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMITROV",
        "first_name": "DIMITAR",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-10",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.