Individual provider Active NPI

Jayde A Vujcich, PT, DPT

  • Physical Therapist
  • Boynton Beach, FL
National Provider Identifier
1396452769
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39548 Issued in FL
Practice address
3111 W Boynton Beach Blvd
Boynton Beach, FL 33436-4613
Phone
(561) 742-3283
NPI assigned
Nov 3, 2022
Last updated
Nov 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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 PT39548 FL Primary

Addresses

Primary practice location

3111 W Boynton Beach Blvd
Boynton Beach, FL 33436-4613

Mailing address

3111 W Boynton Beach Blvd
Boynton Beach, FL 33436-4613
Phone (561) 742-3283

Other identifiers 1

IdentifierTypeStateIssuer
PT39548MedicaidFL

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Aquatics & Physical Therapy Inc Physical Therapist CurrentSince Nov 21, 2022 Accepting new patients
Mote Wellness & Rehab Inc PastSince Jun 1, 2009 Accepting new patients

Locations

3111 W Boynton Beach Blvd
Ste 200
Boynton Beach, FL 33436
Phone (561) 742-3283

3111 W Boynton Beach Blvd
Ste 20000
Boynton Beach, FL 33436
Phone (561) 865-2800

5130 Linton Blvd
Ste H1
Delray Beach, FL 33484
Phone (561) 498-8891

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1396452769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 W BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364613",
            "telephone_number": "561-742-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 W BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364613",
            "telephone_number": "561-742-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUJCICH",
        "first_name": "JAYDE",
        "middle_name": "A",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT39548",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.