Individual provider Active NPI

Daniel Zhukovskiy

  • Physical Therapist
  • Lake Worth, FL
National Provider Identifier
1316770241
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42249 Issued in FL
Practice address
7408 Lake Worth Rd Ste 500
Lake Worth, FL 33467-2516
Phone
(561) 432-3693
Fax
(561) 432-3694
NPI assigned
Aug 26, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT42249 FL Primary

Addresses

Primary practice location

7408 Lake Worth Rd Ste 500
Lake Worth, FL 33467-2516

Mailing address

7408 Lake Worth Rd Ste 500
Lake Worth, FL 33467-2516
Phone (561) 432-3693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240909004103 FL Practitioner - Physical Therapist in Private Practice 5799225405 Reassigns benefits to 1 organization
I20250605004232 TX Practitioner - Physical Therapist in Private Practice 5799225405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctx3 PLLCGroup PAC ID 1355620055, 85 clinicians

Practice addresses (Care Compare)

2000 S Ih 35
N5 Direct Orthopedic Care
Round Rock, TX 78681-6921
Phone (512) 729-3138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT42249FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctx3 PLLC CurrentSince Jun 2, 2025 Accepting new patients
Sportscare Institute, LLC Physical Therapist CurrentSince Aug 15, 2024 Accepting new patients
Doctx3 PLLC CurrentSince Jun 2, 2025 Accepting new patients

Locations

5970 S Jog Rd
Ste A
Lake Worth, FL 33467
Phone (561) 432-3693

7408 Lake Worth Rd
Ste 500
Lake Worth, FL 33467
Phone (561) 432-3693

231 N New York Ave
Winter Park, FL 32789
Phone (407) 599-3700

11 Eagle Rock Ave
Ste 201
East Hanover, NJ 07936
Phone (973) 887-0115

709 E Slaughter Ln
Ste 404
Austin, TX 78744
Phone (512) 277-6643

3110 Guadalupe St
Ste 100
Austin, TX 78705
Phone (512) 599-9510

9500 Dallas Pkwy
Ste 100
Frisco, TX 75033
Phone (469) 535-6647

3014 N O Connor Rd
Ste 200
Irving, TX 75062
Phone (214) 444-5558

2000 S Interstate 35
Ste N5
Round Rock, TX 78681
Phone (512) 244-3822

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1316770241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7408 LAKE WORTH RD STE 500",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672516",
            "telephone_number": "561-432-3693",
            "fax_number": "561-432-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7408 LAKE WORTH RD STE 500",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672516",
            "telephone_number": "561-432-3693",
            "fax_number": "561-432-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHUKOVSKIY",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT42249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.