Concierge PT Vip LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CONCIERGE PT VIP LLC

Practice address

3077 Waterside Cir
Boynton Beach, FL 33435-6401

Phone

(315) 525-6860

NPI assigned

Apr 6, 2022

Last updated

Apr 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph James Martin, PT, DPT, OCS

Title

Owner and Ceo

Phone

(315) 525-6860

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1801537386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3077 WATERSIDE CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334356401",
            "telephone_number": "315-525-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3077 WATERSIDE CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334356401",
            "telephone_number": "315-525-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE PT VIP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "315-525-6860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.