PAC PT LLC (NPI# 1629695846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629695846 |
| Entity Type | Organization |
| Organization Name | PAC PT LLC |
| Practice Address |
21839 High Pine Trl Boca Raton FL 33428-3049 |
| Practice Telephone | 5618916911 |
| Mailing Telephone | 5618916911 |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2020-07-03 |
| Authorized Official Name | MRS. TATIANA PES (PHYSICAL THERAPIST/CLINIC DIRECTOR) |
| Authorized Official Telephone | 5618916911 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PAC PHYSICAL THERAPY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619391166 | Pac Pt LLC | Physical Therapist | 1170 Meadowbrook Blvd, Mandeville, LA 70471-7400 | 2014-02-04 |
| Street Address |
21839 HIGH PINE TRL |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33428-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730653015 | Evolution Rehab, LLC | Occupational Therapist | 21839 High Pine Trl, Boca Raton, FL 33428-3049 | 2019-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016604 | Eliane Dos Santos Lamarche | Behavior Technician | 11514 Country Sound Ct, Boca Raton, FL 33428 | 2018-06-09 |
| 1447740840 | Wilzade Joseph | Assisted Living Facility | 22319 Sw 65th Ave, Boca Raton, FL 33428 | 2018-05-11 |
| 1477065316 | Pamela Manning | Nurse Practitioner | 9864 Grand Verde Way Apt 1507, Boca Raton, FL 33428 | 2017-11-01 |
| 1912428624 | Carole Mandat | Assistant Behavior Analyst | 11083 Baybreeze Way, Boca Raton, FL 33428 | 2017-07-03 |
| 1679025571 | Tam Thu Tran | Physician Assistant | 22864 Neptune Road, Boca Raton, FL 33428 | 2016-10-27 |
| 1922458355 | Zurab Akakievich Iosava | Specialist/Technologist, Other | 21644 State Road 7. (hwy 441), Boca Raton, FL 33428 | 2016-06-16 |
| 1497125280 | Robert Jay Drimmer | Internal Medicine | 21357 Bridgeview Drive, Boca Raton, FL 33428 | 2015-10-06 |
| 1710391966 | Pathway 2 Recovery Gold Coast | Clinic/Center | 23116a Sandal Foot Plaza Drive, Boca Raton, FL 33428 | 2014-06-16 |
| 1134564727 | Mary Margaret Spitzer | Nurse Practitioner | 9980 Central Park Blvdn, Boca Ration, FL 33428 | 2013-05-08 |
| 1619312816 | Alan Wasserman | Dentist | 22053 S.r. 7, Boca Raton, FL 33428 | 2013-05-02 |
| Find all providers in zip 33428 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942742 | Restore Pelvic Health & Rehab LLC | Clinic/Center | 301 E Yamato Rd Ste 1240, Boca Raton, FL 33431-4931 | 2020-11-03 |
| 1689220683 | Tony Cerra Physical Therapy, LLC | Clinic/Center | 1601 Clint Moore Rd Ste 211, Boca Raton, FL 33487-5716 | 2019-08-15 |
| 1225527237 | Pinnacle Movement and Performance | Clinic/Center | 990 S Rogers Cir Ste 7, Boca Raton, FL 33487-2836 | 2018-05-04 |
| 1336645746 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 141 Nw 20th St # C6-c12, Boca Raton, FL 33431-7966 | 2018-04-04 |
| 1164937173 | Pelvicore Rehab | Clinic/Center | 7376 Wexford Ter, Boca Raton, FL 33433-4158 | 2017-12-13 |
| 1346787587 | Mpb Sports and Rehabilitation Inc | Clinic/Center | 3048 Nw 29th Ave, Boca Raton, FL 33434-6036 | 2017-01-26 |
| 1518582816 | Neuro Physical Therapy & Sports Medicine LLC | Clinic/Center | 141 Nw 20th St Ste B3, Boca Raton, FL 33431-7961 | 2020-06-11 |
| 1114443876 | Renewed Physical Therapy LLC | Clinic/Center | 17557 Claridge Oval W, Boca Raton, FL 33496-1336 | 2017-08-15 |
| 1093239147 | Recovercarept Inc | Clinic/Center | 17557 Claridge Oval W, Boca Raton, FL 33496-1336 | 2017-07-31 |
| 1659806768 | Lilo Physiotherapy Inc | Clinic/Center | 7601 N Federal Hwy Ste 220a, Boca Raton, FL 33487-1661 | 2017-04-26 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33428 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.