Individual provider Active NPI

Erika Grande, DPT

  • Physical Therapist
  • Delray Beach, FL
National Provider Identifier
1962677419
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21619 Issued in FL
Practice address
7431 Atlantic Ave Ste 52
Delray Beach, FL 33446-3506
Phone
(561) 432-0111
Fax
(561) 432-1075
NPI assigned
Apr 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 3505 NM
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 21619 FL Primary

Addresses

Primary practice location

7431 Atlantic Ave Ste 52
Delray Beach, FL 33446-3506

Mailing address

332 Glenbrook Dr
Atlantis, FL 33462
Phone (561) 632-0068

Other identifiers 1

IdentifierTypeStateIssuer
1962677419OtherNMNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201210000129 FL Practitioner - Physical Therapist in Private Practice 2163595307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gold Coast Physical Therapy Associates LLCGroup PAC ID 1052306271, 26 clinicians

Practice addresses (Care Compare)

7431 Atlantic Ave
Suite 52
Delray Beach, FL 33446-3506
Phone (561) 432-0111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3505NMMDContractor
21619FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Coast Physical Therapy Associates LLC CurrentSince Nov 30, 2020 Accepting new patients
Gold Coast Physical Therapy Associates LLC Physical Therapist CurrentSince Nov 30, 2020 Accepting new patients
Gold Coast Physical Therapy Associates, LLC Past Accepting new patients
Navitas New Mexico LLC Single Specialty Past Accepting new patients

Locations

5030 Champion Blvd
Ste D9
Boca Raton, FL 33496

7431 Atlantic Ave
Ste 52
Delray Beach, FL 33446
Phone (561) 638-7455

6169 S Jog Rd
Ste A11
Lake Worth, FL 33467
Phone 5614320111 ext. 1004

5840 Corporate Way
Ste 101
West Palm Beach, FL 33407
Phone (561) 852-7352

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1962677419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 GLENBROOK DR",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "33462",
            "telephone_number": "561-632-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7431 ATLANTIC AVE STE 52",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463506",
            "telephone_number": "561-432-0111",
            "fax_number": "561-432-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDE",
        "first_name": "ERIKA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NM",
            "license": "3505",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "21619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962677419",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.