Individual provider Active NPI

Muhammad Syed Nooruddin, PT

  • Physical Therapist
  • Port Saint Lucie, FL
National Provider Identifier
1013118835
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10426 Issued in FL
Practice address
7993 Steeplechase CT
Port Saint Lucie, FL 34986-3120
Phone
(863) 801-1925
Fax
(863) 763-6619
NPI assigned
May 30, 2007
Last updated
Apr 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT10426 FL Primary

Addresses

Primary practice location

7993 Steeplechase CT
Port Saint Lucie, FL 34986-3120

Mailing address

7993 Steeplechase CT
Port Saint Lucie, FL 34986-3120
Phone (863) 801-1925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040816000708 FL Practitioner - Physical Therapist in Private Practice 7214900539 Practice locations: Port St Lucie, FL; Fort Pierce, FL

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7993 Steeplechase CT
Port Saint Lucie, FL 34986-3120
Phone (863) 801-1925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New American Physical Therapy Inc Physical Therapist PastSince Nov 12, 1997 Accepting new patients
American Physical Therapy, LLC Physical Therapist PastSince Nov 3, 2019 Accepting new patients
Intown Home Health Care, Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1013118835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7993 STEEPLECHASE CT",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863120",
            "telephone_number": "863-801-1925",
            "fax_number": "863-763-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7993 STEEPLECHASE CT",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863120",
            "telephone_number": "863-801-1925",
            "fax_number": "863-763-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOORUDDIN",
        "first_name": "MUHAMMAD",
        "middle_name": "SYED",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT10426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.

Verify at the official NPI Registry.