Active NPI
Julissa M Abreu
- Pediatric Physical Therapist
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT13654
- Practice address
- 2623 S Seacrest Blvd Lowr Level
Boynton Beach, FL 33435-7501 - Phone
- (561) 737-7733
- NPI assigned
- Oct 18, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT13654 | FL | Primary |
Addresses
Primary practice location
2623 S Seacrest Blvd Lowr Level
Boynton Beach, FL 33435-7501
Mailing address
2623 S Seacrest Blvd Lowr Level
Boynton Beach, FL 33435-7501
Phone (561) 737-7733
Other names 1
- Julissa A Bakardjiev
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT13654 | FL | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Movement Therapy Center-Boynton Beach Inc | Pediatrics | Current | Accepting new patients |
| F.I.T. PT, LLC | Current | Accepting new patients | |
| Florida Movement Therapy Center-Boca Raton, LLC | Pediatrics | Current | Accepting new patients |
Locations
950 Peninsula Corporate Cir
Ste 3004
Boca Raton, FL 33487
Phone (561) 501-1983
21345 Powerline Rd
Ste 100
Boca Raton, FL 33433
Phone (561) 883-7800
12040 S Jog Rd
Ste 8
Boynton Beach, FL 33437
Phone (561) 733-5083
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.
-
- Clinic/Center
- Boca Raton, FL
- NPI 1508366550
-
- Geriatric Physical Therapist
- Boca Raton, FL
- NPI 1407118268
Pediatrics
-
- Physical Therapist
- Boynton Beach, FL
- NPI 1013105196
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1972792653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2623 S SEACREST BLVD LOWR LEVEL",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334357501",
"telephone_number": "561-737-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2623 S SEACREST BLVD LOWR LEVEL",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334357501",
"telephone_number": "561-737-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABREU",
"first_name": "JULISSA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-18",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "FL",
"license": "PT13654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULISSA",
"last_name": "BAKARDJIEV",
"middle_name": "A",
"credential": "PT",
"code": "2",
"type": "Professional Name"
}
]
}
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 Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.