GOLD COAST PHYSICAL THERAPY ASSOCIATES LLC (NPI# 1598847899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598847899 |
| Entity Type | Organization |
| Organization Name | GOLD COAST PHYSICAL THERAPY ASSOCIATES LLC |
| Other Organization Name | FYZICAL THERAPY & BALANCE CENTERS |
| Practice Address |
6169 Jog Rd Suite A11 Lake Worth FL 33467 |
| 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 | 2006-10-19 |
| 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 | N |
| 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 | GHI | 6699392 | 01 |
| FL | 891951800 | 05 | |
| FL | BCBS | Y918Z | 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 |
| 1588753388 | Gold Coast Physical Therapy Associates LLC | Clinic/Center | 11120 S Crown Way, Suite 8, Wellington, FL 33414 | 2006-10-12 |
| 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 |
6169 JOG RD SUITE A11 |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578564829 | Jason Paul Stein | Pediatrics | 6169 Jog Rd, Ste 82, Lake Worth, FL 33467-6579 | 2005-08-09 |
| 1689961682 | Brett James Perera | Physical Therapist | 6169 Jog Rd, Suite A-11, Lake Worth, FL 33467-6579 | 2011-06-29 |
| 1144556598 | South Florida Eye Pa | Optometrist | 6169 Jog Rd, Suite A-3, Lake Worth, FL 33467-6579 | 2009-10-20 |
| 1720100399 | P D Lab Inc | Technician/Technologist | 6169 Jog Rd, Ste A3, Lake Worth, FL 33467-6579 | 2007-04-04 |
| 1235217571 | Victor Raul Oramas | Dentist | 6169 Jog Rd, Suite B-5, Lake Worth, FL 33467-6579 | 2006-11-02 |
| 1215034962 | Fara Bender | Dentist | 6169 Jog Rd, Suite B-5, Lake Worth, FL 33467-6579 | 2006-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891259537 | Paulette Penning | Nurse Practitioner | Clinic 7891 8954 Lantana Rd, Lake Worth, FL 33467 | 2019-01-28 |
| 1700357183 | Dara Gill | Physical Therapist | 9897 Lake Worth Rd Ste 203, Lake Worth, FL 33467 | 2018-12-11 |
| 1609344977 | Farah Edwidge Johanne Sajous | Nurse Practitioner | 9351 Pinto Dr, Lake Worth, FL 33467 | 2018-11-05 |
| 1386110138 | Juliana Escamilla | Massage Therapist | 390 Bennington Lane, Apt B, Lake Worth, FL 33467 | 2018-10-19 |
| 1609369453 | Courtney Kehaulani Linke | Occupational Therapist | 4602 Sandy Cove Ter, Lake Worth, FL 33467 | 2018-06-07 |
| 1821589862 | Matthew James Dowda | Physical Therapy Assistant | 5342 Evening Star Way, Lake Worth, FL 33467 | 2018-05-25 |
| 1053828954 | Ailema Bayola Perez | Dentist | 3935 Jog Rd, Suite 16, Greenacres, FL 33467 | 2018-01-02 |
| 1922517424 | Metro Physical & Occupational Therapy Inc | Occupational Therapist | 9130 Hypoluxo Road, Lake Worth, FL 33467 | 2017-09-27 |
| 1659806826 | Advanced Placement Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 9627 Bergamo Street, Lake Worth, FL 33467 | 2017-04-26 |
| 1700326378 | Doctor's Choice Medical Center, Inc | Clinic/Center | 2994 S Jog Rd Ste A, Greenacres, FL 33467 | 2017-03-02 |
| Find all providers in zip 33467 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871076752 | United Cerebral Palsy of Broward County | Clinic/Center | 3595 2nd Avenue N, Lake Worth, FL 33461-3346 | 2018-09-07 |
| 1053670463 | Healthworx Physical Therapy Centers LLC | Clinic/Center | 7318 Lake Worth Rd, Lake Worth, FL 33467-2529 | 2012-05-07 |
| 1619290608 | Accelerated Therapy & Rehabilitation Solutions,inc. | Clinic/Center | 6525 Bellaggio Lakes Blvd, Lake Worth, FL 33467-6165 | 2010-03-05 |
| 1932345816 | Select Rehab Services, Inc. | Clinic/Center | 4175 Congress Ave, Lake Worth, FL 33461-4725 | 2008-12-26 |
| 1114026523 | Gold Coast Physical Therapy Associates LLC | Clinic/Center | 9897 Lake Worth Rd, Suite 203, Lake Worth, FL 33467 | 2006-09-22 |
| 1114957453 | Worth Physical Therapy, Inc. | Clinic/Center | 7111 Lake Worth Rd # 15, Lake Worth, FL 33467-2906 | 2006-07-03 |
| 1558736579 | Advanced Children's Thepapy Inc. | Clinic/Center | 2121 10th Ave N, Suite 2119, Lake Worth, FL 33461-3345 | 2015-12-02 |
| 1700010451 | In-town Physical Therapy and Rehabilitation, Inc. | Clinic/Center | 25 S Federal Hwy, Lake Worth, FL 33460-3837 | 2009-05-11 |
| 1427290956 | Hope Physical Therapy Inc. | Clinic/Center | 7111 Lake Worth Rd, Suite 15, Lake Worth, FL 33467-2906 | 2009-03-30 |
| 1437293578 | Advanced Rehab Therapy Center Inc | Clinic/Center | 4897 Jog Rd, Lake Worth, FL 33467 | 2007-02-19 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33467 |
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.