Individual provider Active NPI

Caleb Duke, DPT

  • Physical Therapist
  • Stuart, FL
National Provider Identifier
1194477323
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT38102 Issued in FL
Practice address
5054 SE Federal Hwy
Stuart, FL 34997-6627
Phone
(772) 419-7325
Fax
(772) 291-2345
NPI assigned
Jan 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 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 PT38102 FL Primary

Addresses

Primary practice location

5054 SE Federal Hwy
Stuart, FL 34997-6627

Mailing address

PO Box 8600
Port Saint Lucie, FL 34985-8600
Phone (772) 335-7966

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220216000199 FL Practitioner - Physical Therapist in Private Practice 0941693923 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6206 Atlantic Blvd
Suite 3
Jacksonville, FL 32211-7560
Phone (904) 569-6901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy Sport Medicine Inc Physical Therapist Current Accepting new patients
Premier Physical Therapy & Sports Medicine Physical Therapist CurrentSince Jan 25, 2022 Accepting new patients
Premier Physical Therapy Sport Medicine Inc Physical Therapist CurrentSince Jan 25, 2022 Accepting new patients
Wellness Accelerated Physical Therapist CurrentSince Aug 13, 2024 Accepting new patients
Concierge Physio LLC Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients
Premier Physical Therapy Sport Medicine Inc Physical Therapist PastSince Jan 26, 2022 Accepting new patients

Locations

6206 Atlantic Blvd
Ste 3
Jacksonville, FL 32211
Phone (904) 569-6901

708 3rd St N
Jax Bch, FL 32250
Phone (904) 822-4622

897 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 324-3080

1400 SE Goldtree Dr
Ste 205
Port St Lucie, FL 34952

5054 SE Federal Hwy
Stuart, FL 34997
Phone (772) 419-7325

Organizations & group practices 6

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": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1194477323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8600",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349858600",
            "telephone_number": "772-335-7966",
            "fax_number": "772-335-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5054 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976627",
            "telephone_number": "772-419-7325",
            "fax_number": "772-291-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKE",
        "first_name": "CALEB",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38102",
            "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 Jan 19, 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.