Individual provider Active NPI

Daniela Moore, P.T.

  • Physical Therapist
  • Boynton Beach, FL
National Provider Identifier
1821237843
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24563 Issued in FL
Practice address
614 NW 25TH Ave
Boynton Beach, FL 33426-8793
Phone
(347) 200-8063
Fax
(561) 258-2730
NPI assigned
Feb 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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 PT24563 FL Primary

Addresses

Primary practice location

614 NW 25TH Ave
Boynton Beach, FL 33426-8793

Mailing address

614 NW 25TH Ave
Boynton Beach, FL 33426-8793
Phone (347) 200-8063

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090325000194 FL Practitioner - Physical Therapist in Private Practice 5092872796 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

614 NW 25TH Ave
Boynton Beach, FL 33426-8793
Phone (347) 200-8063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Action Physical Therapy, LLC Physical Therapist CurrentSince Feb 1, 2012 Accepting new patients
Action Physical Therapy, LLC Physical Therapist Current Accepting new patients
Wellness Rehab USA, Inc Physical Therapist CurrentSince Jan 4, 2021 Accepting new patients
Action Physical Therapy, LLC Physical Therapist CurrentSince Feb 1, 2012 Accepting new patients
PT With TLC LLC Physical Therapist CurrentSince Jan 3, 2025 Accepting new patients
Wellness Rehab USA Therapy Corp Physical Therapist CurrentSince Feb 10, 2026 Accepting new patients

Locations

4971 Le Chalet Blvd
Ste 100
Boynton Beach, FL 33436
Phone (561) 733-5590

5080 Pga Blvd
Ste 201
Palm Beach Gardens, FL 33418
Phone (561) 630-9598

106 Ponce de Leon St
Royal Palm Beach, FL 33411
Phone (561) 236-3741

Organizations & group practices 6

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": "1234569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1821237843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 NW 25TH AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268793",
            "telephone_number": "347-200-8063",
            "fax_number": "561-258-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 NW 25TH AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268793",
            "telephone_number": "347-200-8063",
            "fax_number": "561-258-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DANIELA",
        "name_prefix": "Miss",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.