Active NPI
Jennifer Kurack, DPT
- Physical Therapist
- St Petersburg, FL
National Provider Identifier
1437987344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 11210 Blue Heron Blvd N
St Petersburg, FL 33716-3720 - Phone
- (727) 222-5765
- NPI assigned
- Jul 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
11210 Blue Heron Blvd N
St Petersburg, FL 33716-3720
Mailing address
4107 W Carmen St
Tampa, FL 33609-2201
Phone (305) 409-9430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Florida International Univ, College of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11210 Blue Heron Blvd N
St Petersburg, FL 33716-3720
Phone (727) 490-9487
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Pete Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
11210 Blue Heron Blvd N
St Petersburg, FL 33716
Phone (727) 222-5765
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.
-
- Physical Therapy Clinic/Center
- St Petersburg, FL
- NPI 1992402846
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1437987344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4107 W CARMEN ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336092201",
"telephone_number": "305-409-9430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11210 BLUE HERON BLVD N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337163720",
"telephone_number": "727-222-5765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURACK",
"first_name": "JENNIFER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-23",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.