Good Samaritan Physio-Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT27961 Issued in FL

Legal business name

GOOD SAMARITAN PHYSIO-THERAPY, LLC

Practice address

2393 South Congress Ave Suite 125
West Palm Beach, FL 33406

Phone

(561) 253-6382

Fax

(561) 253-0437

NPI assigned

Jun 14, 2018

Organization subpart

No

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

Authorized official

Name

Emmanuel Daniel Benony, DPT

Title

Clinical Director

Phone

(561) 808-3030

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1942793807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 NORTHERN LIGHTS DR",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632037",
            "telephone_number": "561-808-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2393 SOUTH CONGRESS AVE SUITE 125",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33406",
            "telephone_number": "561-253-6382",
            "fax_number": "561-253-0437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2393 South Congress Ave Suite 125",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "33406",
            "country_code": "US",
            "telephone_number": "561-253-6382",
            "fax_number": "561-253-0437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOOD SAMARITAN PHYSIO-THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "BENONY",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "561-808-3030",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT27961",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Good Samaritan Medical Center, Inc. (Good Samaritan Medical Center)
• Good Shepherd Medical Supplies Inc
• Cheryl Rae Gooding, K.T.
• Rita H Goodlett, CRNA
• Alicia Goodman, SLP-A
• Howard M Goodman, MD

• Physical Therapist in West Palm Beach, FL
• Providers in West Palm 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 Jul 15, 2019; 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.