GOLD COAST PHYSICAL THERAPY ASSOCIATES LLC


Address: 11120 S Crown Way, Suite 8, Wellington, FL 33414
Phone: 5614320111

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL PHP 1022629 01
FL BCBS Y920V 01

Other Provider/Organization Names

Other Name Type Code
Fyzical Therapy & Balance Centers Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 11120 S CROWN WAY
SUITE 8
City WELLINGTON
State FL
Zip Code 33414

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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
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Competitor

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City WELLINGTON
Zip Code 33414

Improve Information

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Dataset Information

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.

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