SOUTH PALM PHYSICAL THERAPY SERVICES INC
NPI 1629071212
Physical Therapist in Boca Raton, FL
About South Palm Physical Therapy Services Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH PALM PHYSICAL THERAPY SERVICES INC (NPI 1629071212) is a healthcare organization registered as a physical therapist in Boca Raton, Florida and active in the NPI registry since May 2005. The organization lists Michael P Bovarnick, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Palm Physical Therapy Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to South Palm Physical Therapy Services Inc, 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.
Frequently 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 South Palm Physical Therapy Services Inc's NPI number?
The NPI number for South Palm Physical Therapy Services Inc is 1629071212. It was assigned to this organization in the NPPES registry on May 27, 2005.
Where is South Palm Physical Therapy Services Inc located?
South Palm Physical Therapy Services Inc is located at 6642 NW 25th Ct, Boca Raton, FL 33496. The listed phone number is (561) 376-8935.
What is South Palm Physical Therapy Services Inc's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is South Palm Physical Therapy Services Inc enrolled in Medicare?
Yes. South Palm Physical Therapy Services Inc is registered in the Medicare PECOS enrollment system.
When is South Palm Physical Therapy Services Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through South Palm Physical Therapy Services Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to South Palm Physical Therapy Services Inc. 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.
When was this NPI record last updated?
The NPPES record for South Palm Physical Therapy Services Inc was last updated on November 16, 2011. 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.
# South Palm Physical Therapy Services Inc · NPI 1629071212
Physical Therapist organization in Boca Raton, Florida. Organization record, active in the CMS NPPES registry since May 27, 2005.
## Identity
- **NPI:** 1629071212 (Entity type: Organization)
- **Enumerated:** May 27, 2005
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Organization subpart:** No
- **Authorized official:** Michael Bovarnick, PRESIDENT
## Practice location
- **Address:** 6642 NW 25TH CT, Boca Raton, FL 33496-2016
- **Phone:** (561) 376-8935 · **Fax:** (561) 241-7763
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Florida, Physical/Occupational Therapy Group in Private Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Physical Therapist in Private Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 16, 2011
- **Other identifiers:** Medicare ID-Type Unspecified K1395A (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1629071212) · Data from the CMS NPPES public registry.