Organization Active NPI

Physical Therapy on Wheels Inc

  • Physical Therapist
  • Boynton Beach, FL
National Provider Identifier
1962672030
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19201 Issued in FL
Legal business name
PHYSICAL THERAPY ON WHEELS INC
Practice address
11195 Millpond Greens Drive
Boynton Beach, FL 33473
Phone
(954) 257-1196
Fax
(954) 717-1984
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Mr. Dimitri Cosmios, MPT
Title
Physical Therapist
Phone
(954) 257-1196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT19201 FL Primary

Addresses

Primary practice location

11195 Millpond Greens Drive
Boynton Beach, FL 33473

Mailing address

11195 Millpond Greens Drive
Boynton Beach, FL 33473
Phone (954) 257-1196

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1962672030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11195 MILLPOND GREENS DRIVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33473",
            "telephone_number": "954-257-1196",
            "fax_number": "954-717-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11195 MILLPOND GREENS DRIVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33473",
            "telephone_number": "954-257-1196",
            "fax_number": "954-717-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY ON WHEELS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "COSMIOS",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "954-257-1196",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.