Terry L Rzepkowski, PT

Key facts

NPI

1487701090

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

PT23728 (FL)

Practice address

3127 US Highway 98 N
Lakeland, FL 33805-2103

Phone

(863) 665-8881

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

Yes

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.

• Cora Health Services Inc Rehabilitation Clinic/Center · Lakeland, FL · NPI 1790718963
  NPD (past)
• Cora Health Services, Inc Rehabilitation Clinic/Center · Winter Garden, FL · NPI 1104786805
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles (2 of 4)

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 16, 2024.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1487701090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 LAKE VISTA DR",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338235745",
            "telephone_number": "813-944-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3127 US HIGHWAY 98 N",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052103",
            "telephone_number": "863-665-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RZEPKOWSKI",
        "first_name": "TERRY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "7752",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "P010007752",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

• Delta Ryan, PA
• Michael Timothy Ryan, PT
• Robin Deann Ryan, APRN
• Elizabeth Joan Ryerkerk
• Danielle Marie Rylott, APRN, NP-C
• S. Matthew Schacht DDS, PA
• Sa-Lakeland, LLC
• Paul Stanford Saari, DDS
• Michael Sabina, DO
• Cassandra Lynn Sabol, IMHC

All providers in Lakeland, FL · Physical Therapist in Florida