Gregory Chadwick Idell, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20008 Issued in FL

Practice address

1759 NE 40TH PL
Apt 602
Pompano Beach, FL 33064-9202

Phone

(561) 271-2142

NPI assigned

Nov 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• One to One Physical Therapy, Inc.

  • Physical Therapist
  • Delray Beach, FL
  • NPI 1093768517
  NPD (past)
• Wellcare Chiropractic, Inc.

  • Chiropractor
  • Hershey, PA
  • NPI 1023071628
  NPD (past)

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1942480827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 NE 40TH PL",
            "address_2": "APT 602",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330649202",
            "telephone_number": "561-271-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1759 NE 40TH PL",
            "address_2": "APT 602",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330649202",
            "telephone_number": "561-271-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDELL",
        "first_name": "GREGORY",
        "middle_name": "CHADWICK",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ican Benefit Group
• Icom Pompano Beach LLC
• Icomply Testing Solutions
• Iconic Imaging, Inc.
• Ideal Dental Pompano Beach PLLC
• Ihelp Transportation LLC
• Donna Ikemire-Krumsiek, BA
• Ikon Pharmaceuticals LLC
• Wesly Ilteus Sr., PHARM D.
• Immaculate Careers LLC

• Physical Therapist in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.