Individual provider Active NPI

Victor Omar Garbalosa, D.P.T.

  • Physical Therapist
  • Inverness, FL
National Provider Identifier
1982069910
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30973 Issued in FL
Practice address
1414 Poe St
Inverness, FL 34450-6548
Phone
(954) 554-3346
NPI assigned
Dec 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 30973 FL Primary

Addresses

Primary practice location

1414 Poe St
Inverness, FL 34450-6548

Mailing address

1414 Poe St
Inverness, FL 34450-6548
Phone (954) 554-3346

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191217001564 FL Practitioner - Physical Therapist in Private Practice 4981038452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Clinic FloridaGroup PAC ID 7911807128, 717 clinicians

Practice addresses (Care Compare)

3250 Meridian Pkwy
Weston, FL 33331-3502
Phone (877) 463-2010

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30973FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Florida a Nonprofit Corporation CurrentSince Nov 18, 2019 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Total Care Physical Therapy and Wellness LLC Physical Therapist PastSince Oct 5, 2021 Accepting new patients

Locations

3250 Meridian Pkwy
Weston, FL 33331
Phone (954) 562-7524

20201 Saddle Club Rd
Weston, FL 33327
Phone (954) 659-5370

2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Interoperability endpoints

  • Direct secure messaging: vgarbalosa1397307@direct.ccf.org

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": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1982069910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 POE ST",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344506548",
            "telephone_number": "954-554-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 POE ST",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344506548",
            "telephone_number": "954-554-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARBALOSA",
        "first_name": "VICTOR",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "30973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.