Active NPI
James E Dunker, PT
- Physical Therapist
- Vero Beach, FL
National Provider Identifier
1184773392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4879
- Practice address
- 1705 17TH Avenue
Vero Beach, FL 32960 - Phone
- (772) 562-6877
- Fax
- (772) 562-3153
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 4879 | FL | Primary |
Addresses
Primary practice location
1705 17TH Avenue
Vero Beach, FL 32960
Mailing address
19 Perriwinkle Cres
Stuart, FL 34996-6676
Phone (772) 219-4674
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4879 | Other | FL | PT LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4879 | FL | MD | Mental Health Counselor |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Physical Therapy Sport Medicine Inc | Physical Therapist | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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.
-
- Physical Therapist
- Port St Lucie, FL
- NPI 1417067844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184773392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 PERRIWINKLE CRES",
"city": "STUART",
"state": "FL",
"postal_code": "349966676",
"telephone_number": "772-219-4674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 17TH AVENUE",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "32960",
"telephone_number": "772-562-6877",
"fax_number": "772-562-3153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNKER",
"first_name": "JAMES",
"middle_name": "E",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "4879",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE NUMBER",
"identifier": "4879",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.