Active NPI
Bozena Ciesla
- Physical Therapist
- Boca Raton, FL
National Provider Identifier
1831727213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11280
- Practice address
- 950 Peninsula Corporate Cir Ste 3004
Boca Raton, FL 33487-1387 - Phone
- (561) 501-1983
- Fax
- (561) 270-6965
- NPI assigned
- Mar 31, 2020
- Sex
- Female
- 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 | 11280 | FL | Primary |
Addresses
Primary practice location
950 Peninsula Corporate Cir Ste 3004
Boca Raton, FL 33487-1387
Mailing address
2900 Salerno Way
Delray Beach, FL 33445-7148
Phone (561) 501-1983
Other names 1
- Bozena Ewa Lebek
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11280 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| F.I.T. PT, LLC | Physical Therapist | Current | Accepting new patients |
Locations
950 Peninsula Corporate Cir
Ste 3004
Boca Raton, FL 33487
Phone (561) 501-1983
Organizations & group practices 1
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": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679875200000",
"number": "1831727213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 SALERNO WAY",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334457148",
"telephone_number": "561-501-1983",
"fax_number": "561-270-6965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 PENINSULA CORPORATE CIR STE 3004",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334871387",
"telephone_number": "561-501-1983",
"fax_number": "561-270-6965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIESLA",
"first_name": "BOZENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-31",
"last_updated": "2023-03-27",
"certification_date": "2023-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "11280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BOZENA",
"last_name": "LEBEK",
"middle_name": "EWA",
"code": "1",
"type": "Former Name"
}
]
}
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 27, 2023; 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.