GOLD COAST PHYSICAL THERAPY ASSOCIATES, LLC (NPI# 1679006662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679006662 |
Entity Type | Organization |
Organization Name | GOLD COAST PHYSICAL THERAPY ASSOCIATES, LLC |
Other Organization Name | FYZICAL THERAPY & BALANCE CENTERS |
Practice Address |
1903 S Congress Ave Ste 100 Boynton Beach FL 33426-6553 |
Mailing Address |
5840 Corporate Way Ste 101 West Palm Beach FL 33407-2040 |
Practice Telephone | 5614320111 |
Practice Fax Number | 5614321075 |
Mailing Telephone | 5614320111 |
Mailing Fax Number | 5614321075 |
Enumeration Date | 2017-04-06 |
Last Update Date | 2018-10-01 |
Authorized Official Name | MR. MICHAEL LEE GRAVES (OWNER/PRESIDENT) |
Authorized Official Telephone | 5614320111 |
Authorized Official Credential | MSPT |
Is Organization Subpart | Y |
Parent Organization Name | 1598847899 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
FL | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Fyzical Therapy & Balance Centers | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477086940 | Gold Coast Physical Therapy Associates, LLC | Clinic/Center | 5601 Okeechobee Blvd, West Palm Beach, FL 33417 | 2017-04-11 |
1699208686 | Gold Coast Physical Therapy Associates, LLC | Clinic/Center | 901 N Flagler Dr, 1, West Palm Beach, FL 33401 | 2017-04-06 |
1609205673 | Gold Coast Physical Therapy Associates, LLC | Clinic/Center | 5030 Champion Blvd, Suite D-9, Boca Raton, FL 33496 | 2013-11-11 |
Street Address |
1903 S CONGRESS AVE STE 100 |
City | BOYNTON BEACH |
State | FL |
Zip Code | 33426-6553 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376974766 | Melissa Roque | Physical Therapist | 1903 S Congress Ave Ste 100, Boynton Beach, FL 33426 | 2013-12-10 |
1386277440 | Jade Karina Smith | Physical Therapist | 1903 S Congress Ave Ste 100, Boynton Beach, FL 33426-6553 | 2020-02-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083231690 | Gail J Laufer Inc | Clinic/Center | 1660 Ren. Commons Blvd, 2411, Boynton Beach, FL 33426 | 2020-06-30 |
1497399125 | Roots To Recovery, LLC | Substance Abuse Rehabilitation Facility | 514 Nw 7th Court, Boynton Beach, FL 33426 | 2019-11-06 |
1609429547 | Roman Health Pharmacy LLC | Pharmacy | 3602 Quantum Blvd, Boynton Beach, FL 33426 | 2019-07-19 |
1710457783 | Immersion Residential LLC | Substance Abuse Rehabilitation Facility | 900 N Congress Ave, Boynton Beach, FL 33426 | 2018-12-03 |
1013425727 | Latoya Camay Howell | Family Medicine | 1605 Renaissance Commons Blvd, 428, Boynton Beach, FL 33426 | 2018-01-16 |
1699292979 | Vitae Services of The Palm Beaches, Inc. | Home Health | 517 Industrail Ave., Boynton Beach, FL 33426 | 2017-08-28 |
1063933075 | Perla G Salazar | Dentist | 1690 Renaissance Commons Blvd Apt 1625, Boynton Beach, FL 33426 | 2017-06-29 |
1801339411 | Marianna Zadov, P.a | Dentist | 1301 N Congress Ave #110, Boyton Beach, FL 33426 | 2016-11-30 |
1366801334 | Medical Consultants of Florida | Non-Pharmacy Dispensing Site | 1485 Gateway Blvd Ste 102, Boynton Beach, FL 33426 | 2016-02-18 |
1396114443 | Beachway Therapy Center LLC | Substance Abuse Rehabilitation Facility | 2600 Quantum Blvd, Suite B, 1st Floor, Boynton Beach, FL 33426 | 2015-09-18 |
Find all providers in zip 33426 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558912998 | Brandi Allerdings | Clinic/Center | 10151 Enterprise Ctr Ste 200, Boynton Beach, FL 33437-3761 | 2019-09-26 |
1902275720 | Kishna Sisca Physical Therapy Pa | Clinic/Center | 10290 Gentlewood Forest Dr, Boynton Beach, FL 33473-4862 | 2015-09-22 |
1568699247 | Chomsky Therapy Services Inc. | Clinic/Center | 6609 W Woolbright Rd Ste 420, Boynton Beach, FL 33437 | 2009-06-19 |
1689831893 | Major Physical Therapy Inc | Clinic/Center | 4895 Windward Passage Dr #3, Boynton Beach, FL 33436-7741 | 2008-05-16 |
1205025897 | Martin Physical Therapy Inc | Clinic/Center | 906 S Federal Hwy Ste B, Boynton Beach, FL 33435-5671 | 2007-10-18 |
1760546550 | Cora Health Services, Inc. | Clinic/Center | 7410 Boynton Beach Blvd Ste A11, Boynton Beach, FL 33437-6157 | 2006-12-19 |
1770191124 | Carlos A Aguilar | Clinic/Center | 3111 W Boynton Beach Blvd Ste 200, Boynton Beach, FL 33436-4613 | 2020-07-21 |
1396385969 | Oak Mt LLC | Clinic/Center | 906 S Federal Hwy Ste B, Boynton Beach, FL 33435-5671 | 2020-01-13 |
1003453721 | Paula Manieu | Clinic/Center | 10075 S Jog Rd, Boynton Beach, FL 33437-3535 | 2019-12-01 |
1629619838 | Quinn Physical Therapy Group, Inc. | Clinic/Center | 7362 Briella Dr, Boynton Beach, FL 33437-3770 | 2019-09-30 |
Find all providers in BOYNTON BEACH |
City | BOYNTON BEACH |
Zip Code | 33426 |
Please comment or provide details below to improve the information on GOLD COAST PHYSICAL THERAPY ASSOCIATES, LLC.
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.