Active NPI
Patrick R Neveux, P.T.
- Physical Therapist
- Port St Lucie, FL
National Provider Identifier
1205976644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT12114
- Practice address
- 1400 SE Goldtree Drive
Suite 101
Port St Lucie, FL 34952 - Phone
- (772) 398-7678
- Fax
- (772) 398-7657
- NPI assigned
- Feb 7, 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 | PT12114 | FL | Primary |
Addresses
Primary practice location
1400 SE Goldtree Drive
Suite 101
Port St Lucie, FL 34952
Mailing address
441 NW Prima Vista Blvd.
Suite 105
Port St Lucie, FL 34983
Phone (772) 873-8980
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 889016100 | Medicaid | FL | |
| Y917Z | Other | FL | BCBS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Pain and Rehabilitation Associates Inc | Past | Accepting new patients | |
| Quality Performance Rehabilitation Inc. | Physical Therapist | Past | Accepting new patients |
| Baylife Physical Therapy & Rehabilitation, Inc. | Past | Accepting new patients | |
| Quality Performance Rehabilitation Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Specialist
- Seminole, FL
- NPI 1356747315
-
- Specialist
- Fort Lauderdale, FL
- NPI 1598347726
-
- Physical Therapist
- Fort Pierce, FL
- NPI 1346380813
-
- Physical Therapist
- Port St Lucie, FL
- NPI 1538209762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1205976644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 NW PRIMA VISTA BLVD.",
"address_2": "SUITE 105",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "34983",
"telephone_number": "772-873-8980",
"fax_number": "772-873-8981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 SE GOLDTREE DRIVE",
"address_2": "SUITE 101",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "34952",
"telephone_number": "772-398-7678",
"fax_number": "772-398-7657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVEUX",
"first_name": "PATRICK",
"middle_name": "R",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT12114",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "889016100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y917Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.