Organization Active NPI

Delray Care Physical Therapy LLC

  • Physical Therapist
  • Delray Beach, FL
National Provider Identifier
1992361455
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DELRAY CARE PHYSICAL THERAPY LLC
Practice address
2645 N Federal Hwy Ste 240
Delray Beach, FL 33483-6111
Phone
(561) 562-8561
NPI assigned
May 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Authorized official

Name
Ana Servellon
Title
Office Manager
Phone
(561) 803-7761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2645 N Federal Hwy Ste 240
Delray Beach, FL 33483-6111

Mailing address

3375 Burns Rd Ste 104
Palm Beach Gardens, FL 33410-4360
Phone (561) 803-7761

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191107000343 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6002248325 Receives reassigned benefits from 2 practitioners
Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1992361455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 BURNS RD STE 104",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104360",
            "telephone_number": "561-803-7761",
            "fax_number": "561-803-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 N FEDERAL HWY STE 240",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334836111",
            "telephone_number": "561-562-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELRAY CARE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "SERVELLON",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-803-7761"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.