GOLD COAST PHYSICAL THERAPY ASSOCIATES LLC (NPI# 1891884599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891884599 |
Entity Type | Organization |
Organization Name | GOLD COAST PHYSICAL THERAPY ASSOCIATES LLC |
Other Organization Name | FYZICAL THERAPY & BALANCE CENTERS |
Practice Address |
11000 Prosperity Farms Rd Suite 203 Palm Beach Gardens FL 33410 |
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 | 1598847899 |
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 | 891951803 | 05 | |
FL | GHI | 6699392 | 01 |
FL | BCBS | Y914P | 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 |
1588753388 | Gold Coast Physical Therapy Associates LLC | Clinic/Center | 11120 S Crown Way, Suite 8, Wellington, FL 33414 | 2006-10-12 |
Street Address |
11000 PROSPERITY FARMS RD SUITE 203 |
City | PALM BEACH GARDENS |
State | FL |
Zip Code | 33410 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720033152 | David Lee Vastola | Internal Medicine | 11000 Prosperity Farms Rd, 206, Palm Beach Gardens, FL 33410-3462 | 2006-05-24 |
1417583147 | Katy Redfield | Nurse Practitioner | 11000 Prosperity Farms Rd, Palm Beach Gardens, FL 33410-3462 | 2020-03-13 |
1306299110 | Kayla French | Specialist/Technologist | 11000 Prosperity Farms Rd, Suite 203, Palm Beach Gardens, FL 33410-3462 | 2016-07-16 |
1144626680 | Brittany Cole Williams | Physical Therapist | 11000 Prosperity Farms Rd, Suite 203, Palm Beach Gardens, FL 33410-3462 | 2014-11-11 |
1962828889 | Michael Sclafani | Physical Therapist | 11000 Prosperity Farms Rd, Suite 203, Palm Beach Gardens, FL 33410-3462 | 2014-03-17 |
1356633903 | James Whitney | Chiropractor | 11000 Prosperity Farms Rd, Suite 101, Palm Beach Gardens, FL 33410-3462 | 2011-05-13 |
1841504719 | Palm Beach Spine Specialists | Orthopaedic Surgery | 11000 Prosperity Farms Rd, Suite 102, Palm Beach Gardens, FL 33410-3462 | 2010-08-03 |
1932432630 | Tatiana Pes | Physical Therapist | 11000 Prosperity Farms Rd, Ste 203, Palm Beach Gardens, FL 33410-3462 | 2009-09-12 |
1306968961 | Bronson Family Chiropractic, P.a. | Chiropractor | 11000 Prosperity Farms Rd, Suite 101, Palm Beach Gardens, FL 33410-3462 | 2007-04-04 |
1841340759 | Aaron Eugene Bronson | Chiropractor | 11000 Prosperity Farms Rd, Suite 101, Palm Beach Gardens, FL 33410-3462 | 2007-01-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
Find all providers in zip 33410 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548810005 | On Site Physical Therapy LLC | Clinic/Center | 11550 Mirasol Way Ofc, Palm Beach Gardens, FL 33418-6208 | 2019-09-17 |
1740466978 | Smart Physical Therapy Inc | Clinic/Center | 1983 Pga Blvd Ste 105b, Palm Beach Gardens, FL 33408-3001 | 2008-01-17 |
1720612005 | Arc Therapy Services, LLC | Clinic/Center | 11381 Prosperity Farms Rd, Palm Beach Gardens, FL 33410-3403 | 2020-02-26 |
1407317811 | Pelvic Health Solutions LLC | Clinic/Center | 3375 Burns Rd Ste 108, Palm Beach Gardens, FL 33410-4360 | 2019-03-28 |
1578027637 | Pga Chiropractic Health Center Pa | Clinic/Center | 10800 N Military Trl Ste 111, Palm Beach Gardens, FL 33410-6527 | 2019-01-23 |
1063929107 | Virtual Physical Therapists Pllc | Clinic/Center | 537 Prestwick Cir, Palm Beach Gardens, FL 33418-8439 | 2018-01-10 |
1134472988 | Gray Physical Therapy, Inc | Clinic/Center | 105 Ballenisles Cir, Palm Beach Gardens, FL 33418-3822 | 2012-10-17 |
1740585199 | Advanced Ocean Rehab Inc | Clinic/Center | 11381 Prosperity Farms Rd, 320, Palm Beach Gardens, FL 33410-3403 | 2011-01-17 |
1750557781 | Orthosport Group | Clinic/Center | 4360 Northlake Blvd, Suite 208, Palm Beach Gardens, FL 33410-6274 | 2008-04-30 |
1942488788 | Gardens Physical Therapy & Wellness Pllc | Clinic/Center | 3375 Burns Rd, Suite 104, Palm Beach Gardens, FL 33410-4349 | 2008-02-04 |
Find all providers in PALM BEACH GARDENS |
City | PALM BEACH GARDENS |
Zip Code | 33410 |
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.