Individual provider Active NPI

Vito Anthony Boits, DPT

  • Physical Therapist
  • Lynbrook, NY
National Provider Identifier
1962789131
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034203-1 Issued in NY
Practice address
312 Vincent Ave
Lynbrook, NY 11563-2120
Phone
(516) 351-2343
Fax
(516) 400-9997
NPI assigned
Nov 15, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 034203-1 NY
Physical Therapist 225100000X 034203-1 NY Primary

Addresses

Primary practice location

312 Vincent Ave
Lynbrook, NY 11563-2120

Mailing address

312 Vincent Ave
Lynbrook, NY 11563-2120
Phone (516) 351-2343

Other practice location 1

4037 76th St
Elmhurst, NY 11373-1033
Phone (718) 505-0243

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120117000093 NY Practitioner - Physical Therapist in Private Practice 2163699109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

312 Vincent Ave
Lynbrook, NY 11563-2120
Phone (516) 351-2343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034203-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
V-Fit Functional Physical Therapy, PLLC Single Specialty CurrentSince Dec 1, 2016 Accepting new patients
Physical Therapy Home & Office Services PC Single Specialty Past Accepting new patients
Body Power Physical Therapy, P C Single Specialty Past Accepting new patients

Organizations & group practices 3

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": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1962789131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 VINCENT AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632120",
            "telephone_number": "516-351-2343",
            "fax_number": "516-400-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 VINCENT AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632120",
            "telephone_number": "516-351-2343",
            "fax_number": "516-400-9997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4037 76th St",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113731033",
            "country_code": "US",
            "telephone_number": "718-505-0243",
            "fax_number": "718-463-2478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOITS",
        "first_name": "VITO",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "034203-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034203-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.