PHYSICAL MEDICINE OF SOUTH FLORIDA
NPI 1265516611
Physical Medicine & Rehabilitation in Boca Raton, FL
About Physical Medicine Of South Florida NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHYSICAL MEDICINE OF SOUTH FLORIDA (NPI 1265516611) is a healthcare organization registered as a physical medicine & rehabilitation in Boca Raton, Florida and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through May 13, 2028 and lists Flori F Mcginty, Practice Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Physical Medicine Of South Florida is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Physical Medicine Of South Florida, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2007346
Physical Medicine Of South Florida · Boca Raton, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Daniel Ettedgui, D.O. PA's NPI number?
The NPI number for Daniel Ettedgui, D.O. PA is 1265516611. It was assigned to this organization in the NPPES registry on October 24, 2006. The provider is doing business as Physical Medicine Of South Florida.
Where is Daniel Ettedgui, D.O. PA located?
Daniel Ettedgui, D.O. PA is located at 1905 Clint Moore Road Suite 308, Boca Raton, FL 33496. The listed phone number is (561) 912-9580.
What is Daniel Ettedgui, D.O. PA's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Daniel Ettedgui, D.O. PA enrolled in Medicare?
Yes. Daniel Ettedgui, D.O. PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Daniel Ettedgui, D.O. PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Daniel Ettedgui, D.O. PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Daniel Ettedgui, D.O. PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2007346) is associated with this NPI, valid through May 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Daniel Ettedgui, D.O. PA was last updated on April 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.