Individual provider Active NPI

Silas Waszczuk Junior

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1386502904
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36710 Issued in FL
Practice address
1350 NW 55TH St
Fort Lauderdale, FL 33309-2842
Phone
(305) 428-0611
NPI assigned
Jan 13, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 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 PT36710 FL Primary

Addresses

Primary practice location

1350 NW 55TH St
Fort Lauderdale, FL 33309-2842

Mailing address

1350 NW 55TH St
Fort Lauderdale, FL 33309-2842
Phone (305) 428-0611

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT36710FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1386502904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 NW 55TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092842",
            "telephone_number": "305-428-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 NW 55TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092842",
            "telephone_number": "305-428-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASZCZUK JUNIOR",
        "first_name": "SILAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.