Active NPI
Joseph Duah, MS, PT
- Physical Therapist
- Port Saint Lucie, FL
National Provider Identifier
1295875813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-18775
- Practice address
- 2398 SW Indigo LN
Port Saint Lucie, FL 34953-2158 - Phone
- (772) 336-7587
- Fax
- (772) 343-7676
- NPI assigned
- Feb 6, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-18775 | FL | Primary |
Addresses
Primary practice location
2398 SW Indigo LN
Port Saint Lucie, FL 34953-2158
Mailing address
PO Box 8284
Port Saint Lucie, FL 34985-8284
Phone (772) 336-7587
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-18775 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Mobility, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Port Saint Lucie, FL
- NPI 1376762807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295875813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8284",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349858284",
"telephone_number": "772-336-7587",
"fax_number": "772-343-7676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2398 SW INDIGO LN",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349532158",
"telephone_number": "772-336-7587",
"fax_number": "772-343-7676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUAH",
"first_name": "JOSEPH",
"credential": "MS, PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT-18775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.