Individual provider Active NPI

Michael Rusnak, DPT

  • Physical Therapist
  • Davie, FL
National Provider Identifier
1386474476
Registry record updated Jul 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41878 Issued in FL
Practice address
11306 W State Road 84
Davie, FL 33325-4000
Phone
(954) 475-0791
NPI assigned
Aug 5, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2026

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 PT41878 FL Primary

Addresses

Primary practice location

11306 W State Road 84
Davie, FL 33325-4000

Mailing address

11306 W State Road 84
Davie, FL 33325-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241213001012 FL Practitioner - Physical Therapist in Private Practice 7719413764 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41878FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics Pta, Inc. CurrentSince Nov 5, 2024 Accepting new patients
Rehabclinics Pta, Inc. CurrentSince Nov 5, 2024 Accepting new patients
Rehabclinics Pta, Inc. Current Accepting new patients
Rehabclinics SPT Inc Physical Therapist PastSince Aug 11, 2024 Accepting new patients

Locations

11306 W State Road 84
Davie, FL 33325
Phone (954) 475-0791

1817 E Commercial Blvd
Ft Lauderdale, FL 33308
Phone (954) 836-8980

Organizations & group practices 4

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": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783814400000",
    "number": "1386474476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11306 W STATE ROAD 84",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333254000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11306 W STATE ROAD 84",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333254000",
            "telephone_number": "954-475-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSNAK",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-05",
        "last_updated": "2026-07-12",
        "certification_date": "2026-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2026; 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.