CARLA ROSE ELLSWORTH CONTIN – Physical Therapist, NPI 1619760964

CARLA ROSE ELLSWORTH CONTIN is a healthcare provider. based in Boynton beach, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for CARLA ROSE ELLSWORTH CONTIN is 1619760964

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
CARLA ROSE ELLSWORTH CONTIN
NPI
1619760964
Phone
(561) 931-3011
Address
12040 S JOG RD STE 7
Enumeration Date
28 May 2025
Last Update Date
28 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5617335083
Graduation Year
2025 (1 year ago)
PAC ID
8729575501
Group Practice PAC ID
1759464837
Professional Enrollment ID
I20251015001217
Address ID
FL334374164BO12040RDXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for CARLA ROSE ELLSWORTH CONTIN

  • 12040 S JOG RD STE 7

    BOYNTON BEACH, FL 334374164

    Phone: (561) 931-3011

    Fax: (561) 510-7152

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251015001217IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33437)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759464837View full group profile
NameSpecialtyState
-FL
Qualified Speech Language PathologistFL
-FL
-FL
-FL
Physical Therapist In Private PracticeFL
-FL
Qualified Speech Language PathologistFL
Occupational Therapist In Private PracticeFL
Qualified Speech Language PathologistFL

Reviews

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Frequently asked questions

How is CARLA ROSE ELLSWORTH CONTIN identified in CMS data?
CMS-hosted NPPES data lists CARLA ROSE ELLSWORTH CONTIN with NPI 1619760964.
Does the file indicate CARLA ROSE ELLSWORTH CONTIN is practicing under active NPI?
Directory data currently reports CARLA ROSE ELLSWORTH CONTIN as active.
What is CARLA ROSE ELLSWORTH CONTIN's specialty?
The listing groups CARLA ROSE ELLSWORTH CONTIN with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect CARLA ROSE ELLSWORTH CONTIN on a map?
Expect Boynton Beach, Florida as a primary anchor for CARLA ROSE ELLSWORTH CONTIN unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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