Active NPI
Duckson Pierre Louis
- PACE Provider Organization
- Palm Bay, FL
National Provider Identifier
1255297297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- License
- 14058
- Practice address
- 1407 Wigmore St SE
Palm Bay, FL 32909-5756 - Phone
- (321) 978-9467
- NPI assigned
- Jan 3, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | 14058 | FL | Primary |
Addresses
Primary practice location
1407 Wigmore St SE
Palm Bay, FL 32909-5756
Mailing address
1407 Wigmore St SE
Palm Bay, FL 32909-5756
Phone (321) 978-9467
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14058 | FL | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767398400000",
"number": "1255297297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 WIGMORE ST SE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329095756",
"telephone_number": "321-978-9467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 WIGMORE ST SE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329095756",
"telephone_number": "321-978-9467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERRE LOUIS",
"first_name": "DUCKSON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-01-03",
"last_updated": "2026-01-03",
"certification_date": "2026-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": "FL",
"license": "14058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.