Boca Medical Therapy is a medicare enrolled "Physical Medicine & Rehabilitation - Sports Medicine" provider in Deerfield Beach, Florida. Their current practice location is
1000 E Hillsboro Blvd, Suite 104, Deerfield Beach, Florida. You can reach out to their office (for appointments etc.) via phone at
(954) 363-7494.
Boca Medical Therapy is licensed to practice in Florida (license number OS6072) and it also participates in the medicare program. Boca Medical Therapy
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1861487787.
Healthcare Provider's Profile
Full Name | Boca Medical Therapy |
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Type | Facility |
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Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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Location | 1000 E Hillsboro Blvd, Deerfield Beach, Florida |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861487787
- Provider Enumeration Date: 09/16/2005
- Last Update Date: 05/22/2014
Medicare PECOS Information:
- PECOS PAC ID: 1355713165
- Enrollment ID: O20230203001526
Medical Identifiers
Medical identifiers for Boca Medical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861487787 | NPI | - | NPPES |
HCC5812 | Other | FL | CLINIC |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | CH0006645 (Florida) | Secondary |
174400000X | Specialist | PT12916 (Florida) | Secondary |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | OS6072 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Boca Medical Therapy acts as a billing entity for following providers:
Provider Name | Dmitry Rutenberg |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1215377601 PECOS PAC ID: 8325274616 Enrollment ID: I20180322000554 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Boca Medical Therapy is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Boca Medical Therapy 1000 E Hillsboro Blvd, Suite 104, Deerfield Beach, FL 33441-3628 Ph: (954) 363-7494 | Boca Medical Therapy 1000 E Hillsboro Blvd, Suite 104, Deerfield Beach, FL 33441-3628 Ph: (954) 363-7494 |
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