Organization Active NPI

Patricia a Taruski PT PA

  • Physical Therapy Clinic/Center
  • St Augustine, FL
National Provider Identifier
1215215157
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT 2129 Issued in FL
Legal business name
PATRICIA A TARUSKI PT PA
Practice address
855 S Holmes Blvd
St Augustine, FL 32084-8347
Phone
(904) 819-1541
NPI assigned
Jul 26, 2011
Last updated
Jul 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Authorized official

Name
Dr. Algis G Taruski, PH.D
Title
Manager
Phone
(904) 471-2406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT 2129 FL Primary

Addresses

Primary practice location

855 S Holmes Blvd
St Augustine, FL 32084-8347

Mailing address

244 Barrataria Dr
Saint Augustine, FL 32080-8511
Phone (904) 471-2406

Other identifiers 1

IdentifierTypeStateIssuer
880034100MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1215215157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 BARRATARIA DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320808511",
            "telephone_number": "904-471-2406",
            "fax_number": "904-471-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 S HOLMES BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320848347",
            "telephone_number": "904-819-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA A TARUSKI PT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "TARUSKI",
        "authorized_official_first_name": "ALGIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-471-2406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT 2129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "880034100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.

Verify at the official NPI Registry.