Individual provider Active NPI

Max Piasecki

  • Physical Therapist
  • West Palm Beach, FL
National Provider Identifier
1043855091
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34965 Issued in FL
Practice address
300 Palm Beach Lakes Blvd
West Palm Beach, FL 33401-2710
Phone
(561) 657-4600
NPI assigned
Nov 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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 PT34965 FL Primary

Addresses

Primary practice location

300 Palm Beach Lakes Blvd
West Palm Beach, FL 33401-2710

Mailing address

PO Box 22076
New York, NY 10087-2076
Phone (561) 657-4600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210909001872 FL Practitioner - Physical Therapist in Private Practice 0547666984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HSS-Florida Physicians LLCGroup PAC ID 5991032369, 60 clinicians

Practice addresses (Care Compare)

300 Palm Beach Lakes Blvd
West Palm Beach, FL 33401-2711
Phone (561) 657-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT34965FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Validity Laboratory Services LLC CurrentSince Aug 1, 2021 Accepting new patients
HSS-Florida Physicians LLC CurrentSince Feb 1, 2022 Accepting new patients
HSS-Florida Physicians LLC Physical Therapist CurrentSince Dec 13, 2021 Accepting new patients

Locations

2177 SE Ocean Blvd
Stuart, FL 34996
Phone (772) 230-4260

2177 SE Ocean Blvd
#C
Stuart, FL 34996
Phone (772) 281-1520

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

300 Palm Beach Lakes Blvd
West Palm Beach, FL 33401
Phone (561) 657-4600

Interoperability endpoints

  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1043855091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22076",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872076",
            "telephone_number": "561-657-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PALM BEACH LAKES BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012710",
            "telephone_number": "561-657-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIASECKI",
        "first_name": "MAX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-14",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.