Active NPI
Grace Marilyn Parsons, P.T.
- Physical Therapist
- Lake Worth, FL
National Provider Identifier
1942420807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3535
- Practice address
- 304 Lucerne Ave
Lake Worth, FL 33460-3918 - Phone
- (954) 461-9084
- Fax
- (561) 588-3866
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3535 | FL | Primary |
Addresses
Primary practice location
304 Lucerne Ave
Lake Worth, FL 33460-3918
Mailing address
304 Lucerne Ave
Lake Worth, FL 33460-3918
Phone (954) 461-9084
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y043D | Other | FL | BLUECROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080430000900 | FL | Practitioner - Physical Therapist in Private Practice | 3476632514 | Practice locations: West Palm Beach, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Maryland School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1499 Forest Hill Blvd
Suite 107
West Palm Beach, FL 33406-6050
Phone (561) 588-3883
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3535 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity 5 Inc | Physical Therapist | Past | Accepting new patients |
| Physical Therapy in Your Home Inc | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Boca Raton, FL
- NPI 1356353437
-
- Physical Therapist
- Boca Raton, FL
- NPI 1326665084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249862400000",
"number": "1942420807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 LUCERNE AVE",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334603918",
"telephone_number": "954-461-9084",
"fax_number": "561-588-3866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 LUCERNE AVE",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334603918",
"telephone_number": "954-461-9084",
"fax_number": "561-588-3866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARSONS",
"first_name": "GRACE",
"middle_name": "MARILYN",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2009-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "3535",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHIELD",
"identifier": "Y043D",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; 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.