Claire Petrulak

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17212 Issued in MA

Practice address

1285 36TH St Ste 100
Vero Beach, FL 32960-6587

Phone

(772) 778-2009

NPI assigned

Oct 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic Center of Vero Beach P aGroup PAC ID 2668370131, 9 clinicians

Back in Form Physical Therapy Inc.Group PAC ID 5496929820, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.17 of 100Reported as group

Quality

58.26

Promoting interoperability

98

Improvement activities

40

Cost

73.98

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: claire.petrulak.1@448.direct.athenahealth.com

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.

• Back in Form Physical Therapy Inc.

  • Physical Therapist
  • Vero Beach, FL
  • NPI 1518247873
  Medicare reassignment Care Compare group NPD
• Orthopaedic Center of Vero Beach P a

  • Orthopaedic Surgery Physician
  • Vero Beach, FL
  • NPI 1891795662
  Medicare reassignment Care Compare group NPD
• Orthopaedic Center of Vero Beach P a

  • Durable Medical Equipment & Medical Supplies
  • Fort Pierce, FL
  • NPI 1407233661
  NPD

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1457549784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 FLAMEVINE LN",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329631829",
            "telephone_number": "617-275-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 36TH ST STE 100",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606587",
            "telephone_number": "772-778-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRULAK",
        "first_name": "CLAIRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Peter Petersen, M.D.
• Julia Peterson, M.S., CFY-SLP
• Leuna Petitval
• Fred J Petrilla Jr., PHD
• Linda Kay Petrilla, PH.D,
• Margaret A Pfalzgraf, ARNP
• Miranda Pfautsch, DO
• Kelly Pfeiffer
• Maria Cecilia Pfund
• Lauren Phelps

• Physical Therapist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.