Active NPI
Stanley Gavriel, D.P.T.
- Physical Therapist
- Hallandale Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0293841
- Practice address
- 2500 E Hallandale Beach Blvd Ste 611
Hallandale Beach, FL 33009-4839 - Phone
- (561) 608-0942
- Fax
- (561) 896-2071
- NPI assigned
- Mar 11, 2008
- Last updated
- Sep 3, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 0293841 | NY | Primary |
Addresses
Primary practice location
2500 E Hallandale Beach Blvd Ste 611
Hallandale Beach, FL 33009-4839
Mailing address
2500 E Hallandale Beach Blvd Ste 611
Hallandale Beach, FL 33009-4839
Phone (561) 608-0942
Other practice location 1
6536 99th St
Ste # 1D
Rego Park, NY 11374-4358
Phone (718) 897-6869
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G300000094 | Other | NY | MEDICARE (PTAN) |
| 02976685 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21097 NE 27TH CT
Suite 590
Aventura, FL 33180-1246
Phone (305) 748-4533
2500 E Hallandale Beach Blvd
Suite 611
Hallandale Beach, FL 33009-4839
6536 99TH St
Suite 1D
Rego Park, NY 11374-4316
Phone (718) 897-6869
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.26 of 100
- Quality
- 86.58
- Improvement activities
- 40
- Cost
- 68.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029384 | NY | MD | Pharmacist |
| 0293841 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ortho Florida, LLC | Current | Accepting new patients | |
| Core Strong Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| BH Osteopractic Physiotherapy, LLC | Physical Therapist | Current | Accepting new patients |
| Ortho Florida, LLC | Current | Accepting new patients | |
| Prime Physical Therapy & Rehabilitation, P.C | Past | Accepting new patients |
Locations
141 NW 20th St
Ste G
Boca Raton, FL 33431
Phone (561) 757-6198
2500 E Hallandale Beach Blvd
Ste 611
Hallandale Beach, FL 33009
Phone (954) 454-2345
21097 NE 27th Ct
Ste 590
Miami, FL 33180
Phone (305) 748-4533
6125 SW 31st St
Miami, FL 33155
Phone (305) 662-5056
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Hallandale Beach, FL
- NPI 1437988961
-
- Specialist
- Boca Raton, FL
- NPI 1821113192
-
- Physical Therapy Clinic/Center
- Boca Raton, FL
- NPI 1265020564
Physical Therapist
-
dba Wells Orthopedic Surgery & Sports Medicine
- Orthopaedic Surgery Physician
- Fort Lauderdale, FL
- NPI 1225833858
-
- Physical Therapy Clinic/Center
- Rego Park, NY
- NPI 1265675235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1851561328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 E HALLANDALE BEACH BLVD STE 611",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330094839",
"telephone_number": "561-608-0942",
"fax_number": "718-685-2101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 E HALLANDALE BEACH BLVD STE 611",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330094839",
"telephone_number": "561-608-0942",
"fax_number": "561-896-2071"
}
],
"practiceLocations": [
{
"address_1": "6536 99th St",
"address_2": "STE # 1D",
"address_purpose": "LOCATION",
"city": "Rego Park",
"state": "NY",
"postal_code": "113744358",
"country_code": "US",
"telephone_number": "718-897-6869",
"fax_number": "718-685-2101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAVRIEL",
"first_name": "STANLEY",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-11",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0293841",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE (PTAN)",
"identifier": "G300000094",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02976685",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hallandale Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.