Individual provider Active NPI

Stanley Gavriel, D.P.T.

  • Physical Therapist
  • Hallandale Beach, FL
National Provider Identifier
1851561328
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0293841 Issued in NY
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 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 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

IdentifierTypeStateIssuer
G300000094OtherNYMEDICARE (PTAN)
02976685MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090303000422 NY Practitioner - Physical Therapist in Private Practice 6800952607 Practice locations: Rego Park, NY
I20240604003341 FL Practitioner - Physical Therapist in Private Practice 6800952607 Reassigns benefits to 3 organizations

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
Ortho Florida LLCGroup PAC ID 3274616453, 121 clinicians

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 100Reported as group
Quality
86.58
Improvement activities
40
Cost
68.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
029384NYMDPharmacist
0293841NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Florida, LLC CurrentSince Aug 19, 2024 Accepting new patients
Core Strong Physical Therapy LLC Physical Therapist CurrentSince Aug 12, 2024 Accepting new patients
BH Osteopractic Physiotherapy, LLC Physical Therapist CurrentSince Aug 9, 2024 Accepting new patients
Ortho Florida, LLC CurrentSince Aug 19, 2024 Accepting new patients
Prime Physical Therapy & Rehabilitation, P.C PastSince Dec 1, 2008 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.

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.

Verify at the official NPI Registry.