GOLD COAST PHYSICAL THERAPY ASSOCIATES LLC (NPI# 1588753388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588753388 |
Entity Type | Organization |
Organization Name | GOLD COAST PHYSICAL THERAPY ASSOCIATES LLC |
Other Organization Name | FYZICAL THERAPY & BALANCE CENTERS |
Practice Address |
11120 S Crown Way Suite 8 Wellington FL 33414 |
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 | 2006-10-12 |
Last Update Date | 2018-08-15 |
Authorized Official Name | MR. MICHAEL L GRAVES (PRESIDENT OWNER) |
Authorized Official Telephone | 5614320111 |
Authorized Official Credential | MSPT |
Is Organization Subpart | Y |
Parent Organization Name | GOLD COAST PHYSICAL THERAPY ASSOCIATES LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | PHP | 1022629 | 01 |
FL | BCBS | Y920V | 01 |
Other Name | Type Code |
---|---|
Fyzical Therapy & Balance Centers | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114026523 | Gold Coast Physical Therapy Associates LLC | Clinic/Center | 9897 Lake Worth Rd, Suite 203, Lake Worth, FL 33467 | 2006-09-22 |
1396236758 | Gold Coast Physical Therapy Associates LLC | Clinic/Center | 7431 W Atlantic Ave Ste 52, Delray Beach, FL 33446 | 2018-05-22 |
1861574162 | Gold Coast Physical Therapy Associates LLC | Clinic/Center | 11482 Okeechobee Blvd, Suite 2, Royal Palm Beach, FL 33411 | 2006-10-19 |
1598847899 | Gold Coast Physical Therapy Associates LLC | Clinic/Center | 6169 Jog Rd, Suite A11, Lake Worth, FL 33467 | 2006-10-19 |
1891884599 | Gold Coast Physical Therapy Associates LLC | Clinic/Center | 11000 Prosperity Farms Rd, Suite 203, Palm Beach Gardens, FL 33410 | 2006-10-12 |
Street Address |
11120 S CROWN WAY SUITE 8 |
City | WELLINGTON |
State | FL |
Zip Code | 33414 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275632689 | Ed R Smith | Physical Therapist | 11120 S Crown Way, Suite B, Wellington, FL 33414 | 2006-09-22 |
1073053294 | Diana Moore | Social Worker | 11120 S Crown Way, Suite 1, Wellington, FL 33414-8718 | 2017-03-07 |
1316301310 | Svetlana Grodzitsky | Psychologist | 11120 S Crown Way, Wellington, FL 33414-8718 | 2016-04-06 |
1861858581 | Cotler Children and Family Services, LLC | Psychologist | 11120 S Crown Way, Suite 1, Wellington, FL 33414-8718 | 2016-01-11 |
1184097909 | Julie Rich Hilton | Social Worker | 11120 S Crown Way, Wellington, FL 33414-8718 | 2015-11-02 |
1083703888 | Lourdes M Del Valle | Physical Therapist | 11120 S Crown Way, Suite 8, Wellington, FL 33414 | 2006-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
Find all providers in zip 33414 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548411788 | Jasper Physical Therapy and Rehab Center LLC | Clinic/Center | 1037 State Road #7, Suite #302, Wellington, FL 33414 | 2008-10-07 |
1124070354 | Progressive Therapy Solutions Inc | Clinic/Center | 636 Rambling Drive Cir, Wellington, FL 33414-5036 | 2006-05-16 |
1972505576 | P.t. Services Rehabilitation, Inc. | Clinic/Center | 805 Patriot Drive, Suite H, Wellington, OH 44090-8951 | 2005-08-12 |
1811434699 | Pilozzi Physical Therapy LLC | Clinic/Center | 12300 S Shore Blvd, Ste 102, Wellington, FL 33414-6509 | 2017-01-31 |
1053770495 | Doctors Physiotherapy Inc | Clinic/Center | 2098 Henley Pl, Wellington, FL 33414-7757 | 2016-02-13 |
1407003106 | National Therapeutic Systems Inc | Clinic/Center | 2098 Henley Pl, Wellington, FL 33414-7757 | 2008-08-25 |
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---|---|---|---|---|
1356942742 | Restore Pelvic Health & Rehab LLC | Clinic/Center | 301 E Yamato Rd Ste 1240, Boca Raton, FL 33431-4931 | 2020-11-03 |
1558962019 | Ldg Medical Center LLC | Clinic/Center | 4485 Stirling Rd, Davie, FL 33314-7517 | 2020-11-02 |
1255930855 | Tideline Sports Performance & Rehabilitation LLC | Clinic/Center | 5261 Paylor Ln, Lakewood Ranch, FL 34240-2203 | 2020-10-23 |
1578162780 | Fourth Trimester Wellness LLC | Clinic/Center | 711 Chancellar Dr, Lutz, FL 33548-4512 | 2020-10-19 |
1306445754 | Concierge Rehab Inc | Clinic/Center | 1045 E Heritage Club Cir, Delray Beach, FL 33483-3483 | 2020-10-17 |
1689272627 | Ucdm Services Inc | Clinic/Center | 12030 Sw 129th Ct Ste 103, Miami, FL 33186-4584 | 2020-10-12 |
1902404163 | Frontline Physical Therapy | Clinic/Center | 8655 Bayou Way N, Pinellas Park, FL 33782-4549 | 2020-10-11 |
1891393138 | Venice Physical Therapy and Sports Medicine | Clinic/Center | 1776 S Tamiami Trl, Venice, FL 34293-1602 | 2020-10-09 |
1750988812 | Angeles Medical Center,inc. | Clinic/Center | 8725 Nw 18th Ter Ste 403, Doral, FL 33172-2610 | 2020-10-02 |
1740887967 | Neuro Thrive LLC | Clinic/Center | 1963 Ne Felicita Pl, Jensen Beach, FL 34957-5756 | 2020-10-01 |
Find all providers with the same taxonomy |
City | WELLINGTON |
Zip Code | 33414 |
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.