Individual provider Active NPI

Ieva Sciukauskaite

  • Orthopedic Physical Therapist
  • Aventura, FL
National Provider Identifier
1447927355
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT37132 Issued in FL
Practice address
3575 NE 207TH St FL 33180
Aventura, FL 33180-3771
Phone
(305) 306-8376
NPI assigned
Aug 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT37132 FL
Orthopedic Physical Therapist 2251X0800X PT37132 FL Primary

Addresses

Primary practice location

3575 NE 207TH St FL 33180
Aventura, FL 33180-3771

Mailing address

1S164 Michigan Ave
Lombard, IL 60148-4161
Phone (630) 890-9031

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL webPT Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210915000356 FL Practitioner - Physical Therapist in Private Practice 7012313158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sos Physio LLCGroup PAC ID 0648579334, 7 clinicians

Practice addresses (Care Compare)

3575 NE 207TH St
Suite B17
Aventura, FL 33180-3705
Phone (305) 306-8376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT37132FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Perform Bty Inc Physical Therapist Current Accepting new patients
Sos Physio LLC Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients

Locations

3575 NE 207th St
Ste B17
Miami, FL 33180
Phone (305) 306-8376

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1447927355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S164 MICHIGAN AVE",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484161",
            "telephone_number": "630-890-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 NE 207TH ST FL 33180",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803771",
            "telephone_number": "305-306-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIUKAUSKAITE",
        "first_name": "IEVA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37132",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT37132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "webPT",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3575 NE 207th St Fl 33180",
            "city": "Aventura",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331803771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.