Individual provider Active NPI

Rudi Ide, RPT

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1922190917
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT005031 Issued in FL
Practice address
1500 NW 10TH Ave
#201
Boca Raton, FL 33486-1312
Phone
(561) 338-6100
Fax
(561) 338-6434
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT005031 FL Primary

Addresses

Primary practice location

1500 NW 10TH Ave
#201
Boca Raton, FL 33486-1312

Mailing address

1500 NW 10TH Ave
#201
Boca Raton, FL 33486-1312
Phone (561) 338-6100

Other identifiers 1

IdentifierTypeStateIssuer
Y2736OtherFLBCBS FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050616000658 FL Practitioner - Physical Therapist in Private Practice 3678517091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rudi E Ide and Assoc IncGroup PAC ID 0446417364, 2 clinicians

Practice addresses (Care Compare)

1500 NW 10TH Ave
Suite 201
Boca Raton, FL 33486-1312
Phone (561) 338-6100

Merit-based Incentive Payment System (MIPS)

Final score
94.74 of 100Reported as individual
Quality
89.48
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT005031FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rudi E Ide & Assoc Inc Physical Therapist CurrentSince May 28, 1999 Accepting new patients
Neuroscience Center of Boca Raton Inc Past Accepting new patients

Locations

1500 NW 10th Ave
Ste 201
Boca Raton, FL 33486
Phone (561) 338-6100

Organizations & group practices 2

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922190917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NW 10TH AVE",
            "address_2": "#201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861312",
            "telephone_number": "561-338-6100",
            "fax_number": "561-338-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NW 10TH AVE",
            "address_2": "#201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861312",
            "telephone_number": "561-338-6100",
            "fax_number": "561-338-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDE",
        "first_name": "RUDI",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT005031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "Y2736",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; 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.