NPIMap

Organization Active NPI

Jupiter West Medical Center, Inc

  • Physical Therapist
  • Port St Lucie, FL
National Provider Identifier
1336492412
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JUPITER WEST MEDICAL CENTER, INC
Practice address
9109 S US Highway 1
Suite 102
Port St Lucie, FL 34952-3405
Phone
(561) 744-7373
Fax
(561) 743-1192
NPI assigned
Oct 26, 2012
Last updated
Sep 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Authorized official

Name
Dr. Michael Papa, D.C.
Title
Ceo
Phone
(561) 744-7373

Specialties & licenses 1

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

Addresses

Primary practice location

9109 S US Highway 1
Suite 102
Port St Lucie, FL 34952-3405

Mailing address

2632 W Indiantown Rd
Jupiter, FL 33458-5889
Phone (561) 744-7373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080805000566 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5193759371 Receives reassigned benefits from 2 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jupiter, FL; Lake Worth, FL; Palm Beach Gardens, FL; Port St Lucie, FL

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Jupiter West Medical Center Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1336492412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 W INDIANTOWN RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585889",
            "telephone_number": "561-744-7373",
            "fax_number": "561-743-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9109 S US HIGHWAY 1",
            "address_2": "SUITE 102",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523405",
            "telephone_number": "561-744-7373",
            "fax_number": "561-743-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPITER WEST MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "PAPA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-744-7373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "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 Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.