Individual provider Active NPI

Kenneth Pooa

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1932875614
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
37219 Issued in FL
Practice address
670 Glades Rd Ste 200
Boca Raton, FL 33431-6464
Phone
(561) 495-9511
Fax
(561) 990-7426
NPI assigned
Aug 21, 2021
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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 37219 FL Primary

Addresses

Primary practice location

670 Glades Rd Ste 200
Boca Raton, FL 33431-6464

Mailing address

2510 SW 81St Ave Apt 205
Davie, FL 33324-5788
Phone (917) 952-0333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230216001764 FL Practitioner - Physical Therapist in Private Practice 6800268087 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Spine Associates LLCGroup PAC ID 8426402819, 20 clinicians

Practice addresses (Care Compare)

670 Glades Rd
Suite 200
Boca Raton, FL 33431-6464
Phone (561) 495-9511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37219FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Pain Care Consultants LLC CurrentSince Apr 1, 2023 Accepting new patients
Empowerme Rehabilitation Florida, LLC Physical Therapist CurrentSince Oct 5, 2023 Accepting new patients
Florida Spine Associates LLC CurrentSince Apr 30, 2024 Accepting new patients
Empowerme Rehabilitation Florida, LLC CurrentSince Oct 5, 2023 Accepting new patients
Anesthesia Pain Care Consultants LLC CurrentSince Apr 1, 2023 Accepting new patients
Ortho Florida, LLC Past Accepting new patients

Locations

2900 N Military Trl
Ste 230
Boca Raton, FL 33431
Phone (561) 859-3109

670 Glades Rd
Ste 200
Boca Raton, FL 33431
Phone (561) 391-6470

1330 SE 4th Ave
Ste B
Ft Lauderdale, FL 33316
Phone (954) 463-3804

6945 Carlisle Ct
Naples, FL 34109
Phone (239) 249-6877

7171 N University Dr
Ste 300
Tamarac, FL 33321
Phone (954) 720-3188

3319 S State Road 7
Ste 207
Wellington, FL 33449
Phone (561) 283-0382

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6765

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IADCDD

Organizations & group practices 6

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": "1629504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1932875614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 SW 81ST AVE APT 205",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333245788",
            "telephone_number": "917-952-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 GLADES RD STE 200",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316464",
            "telephone_number": "561-495-9511",
            "fax_number": "561-990-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOA",
        "first_name": "KENNETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-21",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "37219",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 7, 2026; 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.