Organization Active NPI

Icon PT LLC

  • Physical Therapist
  • Deerfield Beach, FL
National Provider Identifier
1285501726
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ICON PT LLC
Practice address
449 S Federal Hwy FL 33441
Deerfield Beach, FL 33441-4133
Phone
(347) 987-6216
NPI assigned
Oct 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Vladimir StojnicNPI 1346886595
Title
Owner/Manager
Phone
(347) 987-6216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

449 S Federal Hwy FL 33441
Deerfield Beach, FL 33441-4133

Mailing address

4340 Lago Dr
Deerfield Beach, FL 33064-2128
Phone (347) 987-6216

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251204002461 FL Part B Supplier - Clinic/Group Practice 3678066941 Receives reassigned benefits from 1 practitioner
Practice locations: Deerfield Beach, FL

National Provider Directory

National Provider Directory

Locations

449 S Federal Hwy
Deerfield Beach, FL 33441
Phone (347) 987-6216

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1285501726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 LAGO DR",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330642128",
            "telephone_number": "347-987-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 S FEDERAL HWY FL 33441",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414133",
            "telephone_number": "347-987-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICON PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "STOJNIC",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "347-987-6216"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.