Individual provider Active NPI

Tomas Urbanik

  • Physical Therapist
  • Winter Garden, FL
National Provider Identifier
1336867902
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40490 Issued in FL
Practice address
712 Valencia CT
Winter Garden, FL 34787-2614
Phone
(140) 748-9185
NPI assigned
Aug 18, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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 PT40490 FL Primary

Addresses

Primary practice location

712 Valencia CT
Winter Garden, FL 34787-2614

Mailing address

712 Valencia CT
Winter Garden, FL 34787-2614
Phone (140) 748-9185

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241219000943 FL Practitioner - Physical Therapist in Private Practice 4688101389 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT40490FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
WG Health Solutions LLC Physical Therapist CurrentSince Nov 14, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1336867902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 VALENCIA CT",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347872614",
            "telephone_number": "140-748-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 VALENCIA CT",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347872614",
            "telephone_number": "140-748-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBANIK",
        "first_name": "TOMAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-18",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.