GOLD COAST PHYSICAL THERAPY ASSOCIATES LLC (NPI# 1861574162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861574162 |
| Entity Type | Organization |
| Organization Name | GOLD COAST PHYSICAL THERAPY ASSOCIATES LLC |
| Other Organization Name | FYZICAL THERAPY & BALANCE CENTERS |
| Practice Address |
11482 Okeechobee Blvd Suite 2 Royal Palm Beach FL 33411 |
| 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 | 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 | 891951801 | 05 | |
| FL | BCBS | Y914F | 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 |
| 1598847899 | Gold Coast Physical Therapy Associates LLC | Clinic/Center | 6169 Jog Rd, Suite A11, Lake Worth, FL 33467 | 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 |
11482 OKEECHOBEE BLVD SUITE 2 |
| City | ROYAL PALM BEACH |
| State | FL |
| Zip Code | 33411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417056821 | Brian Scott Russ | Physical Therapist | 11482 Okeechobee Blvd, Suite 2, Royal Palm Beach, FL 33411-8735 | 2006-09-22 |
| 1760834865 | Joseph Hitchcock | Physical Therapist | 11482 Okeechobee Blvd, Ste 2, Royal Palm Beach, FL 33411-8735 | 2016-07-13 |
| 1013264530 | Timothy A Russell | Physical Therapist | 11482 Okeechobee Blvd, Suite 2, Royal Palm Beach, FL 33411-8735 | 2012-08-15 |
| 1073869236 | Kathryn M Sadler | Occupational Therapist | 11482 Okeechobee Blvd, Suite 2, Royal Palm Beach, FL 33411-8735 | 2012-07-25 |
| 1689908196 | Trisha Anne Dittmer | Physical Therapist | 11482 Okeechobee Blvd, Suite 2, Royal Palm Beach, FL 33411-8735 | 2009-09-30 |
| 1578792404 | Jaclyn J Bretcko | Physical Therapist | 11482 Okeechobee Blvd, Suite 2, Royal Palm Beach, FL 33411-8735 | 2009-07-13 |
| 1124295639 | Jonelle Marinelli Roy | Physical Therapist | 11482 Okeechobee Blvd, Suite 2, Royal Palm Beach, FL 33411-8735 | 2008-05-14 |
| 1558460964 | Tina Jabali Schmidt | Physical Therapist | 11482 Okeechobee Blvd, Suite 2, Royal Palm Beach, FL 33411-8735 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343129 | Ashley Nicole Zarmanian | Counselor | 1779 Palisades Drive, West Palm Beach, FL 33411 | 2020-07-07 |
| 1487110995 | Everglades College Inc | Chiropractor | 2085 Vista Parkway, West Palm Beach, FL 33411 | 2019-02-20 |
| 1538625652 | Amanda Marie Tropea | Behavior Technician | 2054 Vista Park Way Suite #400, West Palm Beach, FL 33411 | 2019-02-13 |
| 1528554516 | Michael Ryan Moraguez | Dentist | 11358 Okeechobee Blvd Ste 1, Royal Palm Beach, FL 33411 | 2018-07-02 |
| 1184124505 | Abd Medical Surgical & Home Care Equipments, Inc | Durable Medical Equipment & Medical Supplies | 10349 Southern Blvd, Royal Palm Beach, FL 33411 | 2018-02-13 |
| 1336668987 | Belinda Brooks-josephs | Registered Nurse | 11407 Blue Violet Lane, Royal Palm Beach, FL 33411 | 2017-09-14 |
| 1699293183 | Lisa Camille Watson | Psychologist | 7750 Okeechobee Boulevard, Suite 4-9-19, West Palm Beach, FL 33411 | 2017-09-05 |
| 1174044515 | Sherisa Harris | Licensed Practical Nurse | 260 Crestwood Circle, Unit 104, Royal Palm Beach, FL 33411 | 2017-07-06 |
| 1134659758 | Gerry B Alondra | Behavior Technician | 103 Banyan Lane, West Palm Beach, FL 33411 | 2017-06-15 |
| 1356871313 | Maylin Ojeda | Behavior Technician | 13397 55th Rd N, West Palm Beach, FL 33411 | 2017-06-13 |
| Find all providers in zip 33411 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245788520 | Daniel Pierre | Clinic/Center | 456 Mulberry Grove Rd, Royal Palm Beach, FL 33411-4531 | 2016-09-15 |
| 1023266046 | Professional Rehab and Wellness Inc | Clinic/Center | 1128 Royal Palm Beach Blvd, #243, Royal Palm Beach, FL 33411-1693 | 2008-09-03 |
| 1780601583 | Comprehensive Hand & Physical | Clinic/Center | 11947 Southern Blvd, Royal Palm Beach, FL 33411-7619 | 2006-07-16 |
| 1891223152 | Recoverx Physical Therapy, Inc. | Clinic/Center | 1011 N State Road 7 Ste D, Royal Palm Beach, FL 33411-5184 | 2017-05-31 |
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|---|---|---|---|---|
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| 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 | ROYAL PALM BEACH |
| Zip Code | 33411 |
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.