Individual provider Active NPI

Przemyslaw Tokarski

  • Physical Therapist
  • Kissimmee, FL
National Provider Identifier
1417470972
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT32479 Issued in FL
Practice address
2501 Old Vineland Rd Ste 2501
Kissimmee, FL 34746-5839
Phone
(248) 977-9677
NPI assigned
Jul 17, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 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 PT32479 FL Primary

Addresses

Primary practice location

2501 Old Vineland Rd Ste 2501
Kissimmee, FL 34746-5839

Mailing address

PO Box 471086
Kissimmee, FL 34747-9086

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220923001975 FL Practitioner - Physical Therapist in Private Practice 1557746799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2501 Old Vineland Rd
Kissimmee, FL 34746-5839
Phone (248) 977-9677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Pediatric Training Center LLC, Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients

Locations

2501 Old Vineland Rd
Kissimmee, FL 34746
Phone (248) 977-9677

2501 Old Vineland Rd
Ste 2501
Kissimmee, FL 34746
Phone (248) 977-9677

Networks

  • Freedom Health HMO Network

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": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1417470972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 471086",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347479086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 OLD VINELAND RD STE 2501",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347465839",
            "telephone_number": "248-977-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOKARSKI",
        "first_name": "PRZEMYSLAW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-17",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.