Erin Nicole Ippolito, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21019 Issued in FL

Practice address

6169 S Jog Rd Ste A11
Lake Worth, FL 33467-6586

Phone

(561) 432-0111

Fax

(561) 432-1075

NPI assigned

Jan 30, 2007

Last updated

Jun 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Erin Nicole Amason Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gold Coast Physical Therapy Associates LLCGroup PAC ID 1052306271, 26 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Gold Coast Physical Therapy Associates LLC

  dba Fyzical Therapy & Balance Centers

  • Physical Therapy Clinic/Center
  • Lake Worth, FL
  • NPI 1114026523

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Gold Coast Physical Therapy Associates LLC

  • Physical Therapy Clinic/Center
  • Boca Raton, FL
  • NPI 1316714850
  NPD
• Rehabsystems Physical Therapy Centers, Inc.

  • Physical Therapist
  • Wellington, FL
  • NPI 1265516215
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1861538423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 CORPORATE WAY STE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072040",
            "telephone_number": "561-432-0111",
            "fax_number": "561-432-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6169 S JOG RD STE A11",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676586",
            "telephone_number": "561-432-0111",
            "fax_number": "561-432-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IPPOLITO",
        "first_name": "ERIN",
        "middle_name": "NICOLE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "AMASON",
            "middle_name": "NICOLE",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Internal Medicine Prime Care LLC
• Interventional Pain Professionals of Florida, Inc.
• Intrepid Holistic Health Services LLC
• Raquel Ioia, OTR/L
• Ionm Tech LLC
• Iridium Medical Supply LLC
• Emilia Isaza, DDS
• Emad R Ishak, RPT
• Alexander Iskandar, PA-C
• Matthew Lee Islam

• Physical Therapist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.