Boca Medical Therapy

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

OS6072 Issued in FL

Legal business name

BOCA MEDICAL THERAPY

Practice address

1000 E Hillsboro Blvd
Suite 104
Deerfield Beach, FL 33441-3628

Phone

(954) 363-7494

Fax

(954) 363-7497

NPI assigned

Sep 16, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Tesic

Title

Ceo

Phone

(561) 338-6897

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dmitry Rutenberg, DPT

  • Physical Therapist
  • Pompano Beach, FL
  • NPI 1215377601
  Medicare reassignment NPD
• Zachary William Morris

  • Chiropractor
  • Deerfield Beach, FL
  • NPI 1447994223
  NPD
• Adele Firestar, MA

  • Massage Therapist
  • Deerfield Beach, FL
  • NPI 1376865410
  NPD (past)
• Harry G Mikazans, DC

  • Sports Physician Chiropractor
  • Deerfield Beach, FL
  • NPI 1396730214
  NPD (past)
• Susan Sidwell, MA

  • Massage Therapist
  • Deerfield Beach, FL
  • NPI 1740502707
  NPD (past)
• Raffi Toroyan, D.O.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Deerfield Beach, FL
  • NPI 1295710762
  NPD (past)

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1861487787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E HILLSBORO BLVD",
            "address_2": "SUITE 104",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334413628",
            "telephone_number": "954-363-7494",
            "fax_number": "954-363-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E HILLSBORO BLVD",
            "address_2": "SUITE 104",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334413628",
            "telephone_number": "954-363-7494",
            "fax_number": "954-363-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA MEDICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "TESIC",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-338-6897",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006645",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "PT12916",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": "OS6072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC",
            "identifier": "HCC5812",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey D Blum, MD
• Gary Blumberg, DO
• Sergeline Bobo
• Michele L Bobrow-Silver
• Boca Deerfield Foot Care Center Inc
• Bocacare Inc
• Bocacare Inc
• Savannah Boch
• Mindy S Bohrer, MD
• Christopher Shawn Bolt, M.D.

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.

Verify at the official NPI Registry.