Active NPI
Jacek A Szymanowicz, PT
- Physical Therapist
- Stuart, FL
National Provider Identifier
1003672791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT12199
- Practice address
- 4287 SE Federal Hwy
Stuart, FL 34997-4936 - Phone
- (772) 223-3440
- Fax
- (772) 225-0843
- NPI assigned
- Feb 21, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT12199 | FL | Primary |
Addresses
Primary practice location
4287 SE Federal Hwy
Stuart, FL 34997-4936
Mailing address
4287 SE Federal Hwy
Stuart, FL 34997-4936
Phone (772) 225-8908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4287 SE Federal Hwy
Stuart, FL 34997-4936
Phone (772) 225-8908
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT12199 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gina'S Physical Therapy, Inc | Single Specialty | Current | Accepting new patients |
Locations
4287 SE Federal Hwy
Stuart, FL 34997
Phone (772) 223-3440
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1003672791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4287 SE FEDERAL HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349974936",
"telephone_number": "772-225-8908",
"fax_number": "772-225-0843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4287 SE FEDERAL HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349974936",
"telephone_number": "772-223-3440",
"fax_number": "772-225-0843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZYMANOWICZ",
"first_name": "JACEK",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-21",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT12199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.