Active NPI
John Paul Nurczyk, MPT
- Physical Therapist
- Port Saint Lucie, FL
National Provider Identifier
1306469226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22515
- Practice address
- 302 NW Binghampton LN
Port Saint Lucie, FL 34983-3434 - Phone
- (772) 777-0888
- NPI assigned
- May 27, 2020
- 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 | 22515 | FL | Primary |
Addresses
Primary practice location
302 NW Binghampton LN
Port Saint Lucie, FL 34983-3434
Mailing address
302 NW Binghampton LN
Port Saint Lucie, FL 34983-3434
Phone (772) 777-0888
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22515 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy in Home | Current | 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.
-
- Physical Therapy Clinic/Center
- Port Saint Lucie, FL
- NPI 1568089696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1306469226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 NW BINGHAMPTON LN",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349833434",
"telephone_number": "772-777-0888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 NW BINGHAMPTON LN",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349833434",
"telephone_number": "772-777-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NURCZYK",
"first_name": "JOHN",
"middle_name": "PAUL",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-27",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "22515",
"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 Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.