AGEWELL SOUTH PHYSICAL THERAPY AND WELLNESS PA (NPI# 1902195506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902195506 |
| Entity Type | Organization |
| Organization Name | AGEWELL SOUTH PHYSICAL THERAPY AND WELLNESS PA |
| Other Organization Name | AGEWELL SOUTH |
| Practice Address |
5180 W Atlantic Ave Delray Beach FL 33484-8103 |
| Mailing Address |
223 Ridge Rd Douglaston NY 11363-1308 |
| Practice Telephone | 9143181304 |
| Mailing Telephone | 9143181304 |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2012-02-16 |
| Authorized Official Name | MR. JOHN DRAGAN (CO-OWNER) |
| Authorized Official Telephone | 9143181304 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
PT 26314 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Agewell South | Doing Business As Name - Organization |
| Street Address |
5180 W ATLANTIC AVE |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33484-8103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568461903 | Life Quality Home Health Care, Inc | Durable Medical Equipment & Medical Supplies | 5180 W Atlantic Ave, Ste 101, Delray Beach, FL 33484-8103 | 2005-07-19 |
| 1831716836 | Fabiola Mercedes Rodriguez | Behavior Technician | 5180 W Atlantic Ave, Delray Beach, FL 33484-8103 | 2020-06-25 |
| 1710500715 | Keissy Gabriela Josefik | Behavior Technician | 5180 W Atlantic Ave, Delray Beach, FL 33484-8103 | 2020-05-26 |
| 1245874155 | Matthew Steven Winnik | Behavior Technician | 5180 W Atlantic Ave, Delray Beach, FL 33484-8103 | 2019-11-04 |
| 1245799220 | Ivonne Cordoves Soler | Behavior Technician | 5180 W Atlantic Ave, Delray Beach, FL 33484-8103 | 2019-03-18 |
| 1538635040 | Sophonie Delizin | Behavior Technician | 5180 W Atlantic Ave, 114, Delray Beach, FL 33484 | 2018-10-23 |
| 1013497049 | Michlee Anglade | Behavior Technician | 5180 W Atlantic Ave, Delray Beach, FL 33484-8103 | 2018-08-20 |
| 1700375771 | Courtney Iaccarino | Assistant Behavior Analyst | 5180 W Atlantic Ave, Delray Beach, FL 33484-8103 | 2018-05-05 |
| 1447757505 | Yadira Almaguer Oquendo | Developmental Therapist | 5180 W Atlantic Ave, Delray Beach, FL 33484-8103 | 2018-04-06 |
| 1184156705 | Leonor Alvarez | Behavior Technician | 5180 W Atlantic Ave, Suite 114, Delray Beach, FL 33484-8103 | 2017-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576127 | Christian Travis Wade Maxwell | Student in an Organized Health Care Education/Training Program | Fair Oaks Pavilion Rm 247, 5440 Linton Boulevard, Delray Beach, FL 33484 | 2020-04-03 |
| 1659833002 | Steven L Diamond | Internal Medicine | 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 | 2019-04-04 |
| 1164905741 | Dana Correnti | Physician Assistant | 5210 Linton Blvd Ste 301, Delray Beach, FL 33484 | 2018-09-10 |
| 1891207924 | Philip Craig Davidoff | Music Therapist | 13859b Via Aurora, Delray Beach, FL 33484 | 2017-10-30 |
| 1265943963 | Megan Elizabeth Garvey-henaka | Social Worker | 14000 S. Military Trail Suite 204a, Delray Beach, FL 33484 | 2017-10-20 |
| 1558726984 | Nena Reloj Neron | Physical Therapist | 16089 Poppyseed Cir Unit 2018, Delray Beach, FL 33484 | 2015-12-30 |
| 1427430354 | Hannah Ilene Cardarelli | Physician Assistant | 14555 Springside Ln, Delray Beach, FL 33484 | 2015-06-27 |
| 1689055782 | Genesis Critical Care Associates, LLC | Internal Medicine | 5352 Linton Boulevard, Delray Beach, FL 33484 | 2015-06-15 |
| 1679980288 | Ashley Susan Lennan | Chiropractor | 14590 S Military Trl Bay Stee5, Delray Beach, FL 33484 | 2014-07-15 |
| 1104257211 | Jaime Agustin Catala | Internal Medicine | 5130 Linton Blvd Ste G1, Delray Beach, FL 33484 | 2013-11-29 |
| Find all providers in zip 33484 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942422043 | Rebecca Kassapian | Physical Therapist | 16200 Jog Rd, Delray Beach, FL 33446-2321 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679107544 | Erin F Black | Physical Therapist | 2300 Bluff Oak Way Apt 5104, Tallahassee, FL 32311-6129 | 2020-02-28 |
| 1942851225 | Sara Walker | Physical Therapist | 213 S Dillard Street, Suite 320c, Winter Garden, FL 34787 | 2019-09-26 |
| 1235697574 | Promobility Care Physical Therapy LLC | Physical Therapist | 11204 58th Street Cir E, Parrish, FL 34219-4513 | 2019-03-05 |
| 1255821542 | Lacey Smith | Physical Therapist | 5429 Highlands Vista Cir, Lakeland, FL 33812-5216 | 2018-05-13 |
| 1770005720 | Leading Edge Rehabilitation LLC | Physical Therapist | 19348 Wind Dancer St, Lutz, FL 33558-9054 | 2017-07-12 |
| 1558896522 | Emily Routh | Physical Therapist | 6220 Willow Beck Ln Apt 203, Bradenton, FL 34202-5195 | 2017-04-26 |
| 1609312545 | Pamala Galloway Feehan | Physical Therapist | 7500 Monarch Ln, Fort Myers, FL 33912-2371 | 2017-01-17 |
| 1588106215 | Vincenzo Bombara | Physical Therapist | 6000 Nw 61st St, Parkland, FL 33067-4411 | 2016-11-11 |
| 1437519196 | Daniel Collins | Physical Therapist | 1616 Raincrow Dr, Saint Johns, FL 32259-9080 | 2016-02-24 |
| 1578928420 | Country Club Pt Pa | Physical Therapist | 1331 Whispering Ln, Venice, FL 34285-6449 | 2015-12-19 |
| Find all providers with the same taxonomy | ||||
| City | DELRAY BEACH |
| Zip Code | 33484 |
Please comment or provide details below to improve the information on AGEWELL SOUTH PHYSICAL THERAPY AND WELLNESS PA.
| 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.