Active NPI
Elana R Haverman, DPT
- Physical Therapist
- Boca Raton, FL
National Provider Identifier
1962709113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT25774
- Practice address
- 4880 NW 28TH Way
Boca Raton, FL 33434-5809 - Phone
- (561) 706-6473
- NPI assigned
- Feb 24, 2011
- Sex
- Female
- Sole proprietor
- No
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 | PT25774 | FL | Primary |
Addresses
Primary practice location
4880 NW 28TH Way
Boca Raton, FL 33434-5809
Mailing address
4880 NW 28TH Way
Boca Raton, FL 33434-5809
Phone (561) 706-6473
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT25774 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783728000000",
"number": "1962709113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4880 NW 28TH WAY",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334345809",
"telephone_number": "561-706-6473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4880 NW 28TH WAY",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334345809",
"telephone_number": "561-706-6473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVERMAN",
"first_name": "ELANA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-24",
"last_updated": "2026-07-11",
"certification_date": "2026-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT25774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.