Daniel Ettedgui, D.O.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

OS-6221 Issued in FL

Practice address

7284 W Palmetto Park Rd
Suite 105S
Boca Raton, FL 33433-3406

Phone

(561) 912-9580

Fax

(561) 912-9506

NPI assigned

Mar 17, 2006

Last updated

Apr 14, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and RehabilitationAlso: Interventional Pain Management

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
• Delray Medical Center Hospital, Delray Beach, FL, CCN 100258

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Daniel Ettedgui, D.O. PA

  dba Physical Medicine of South Florida

  • Physical Medicine & Rehabilitation Physician
  • Boca Raton, FL
  • NPI 1265516611
  Medicare reassignment NPD
• Parma Pediatrics Inc

  • Pediatrics Physician
  • Parma, OH
  • NPI 1508823204
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Boca Raton Regional Hospital, Inc.

  • General Acute Care Hospital
  • Boca Raton, FL
  • NPI 1902826779
  Care Compare affiliation
• Delray Medical Center, Inc.

  dba Delray Medical Center

  • General Acute Care Hospital
  • Delray Beach, FL
  • NPI 1326078288
  Care Compare affiliation

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1972572246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7284 W PALMETTO PARK RD",
            "address_2": "SUITE 105S",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333406",
            "telephone_number": "561-912-9580",
            "fax_number": "561-912-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7284 W PALMETTO PARK RD",
            "address_2": "SUITE 105S",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333406",
            "telephone_number": "561-912-9580",
            "fax_number": "561-912-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTEDGUI",
        "first_name": "DANIEL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS-6221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eternal Wellness
• Kellee A Etghayi, A.P.R.N.
• Amy Christine Etkie, M.S.
• Andrea Buonaiuto Etkie
• Joshua David Etman, DDS
• Haley-Elaine Eubanks
• European Senior Care LLC
• Kathleen A Eustace
• Johanne Eustache Saint Louis, ARNP
• Aaron James Evans, O.D.

• Physical Medicine & Rehabilitation Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.