Individual provider Active NPI

Adam Andrew Lupinski, PTA,ATC

  • Physical Therapy Assistant
  • Stuart, FL
National Provider Identifier
1487788253
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA18513 Issued in FL
Practice address
701 NW Federal Hwy
Suite 403
Stuart, FL 34994-1005
Phone
(772) 692-6928
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA18513 FL Primary

Addresses

Primary practice location

701 NW Federal Hwy
Suite 403
Stuart, FL 34994-1005

Mailing address

807 SW Jennifer Ter
Port Saint Lucie, FL 34953-1938
Phone (772) 359-1827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA18513FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab 2000 Inc Past Accepting new patients

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487788253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 SW JENNIFER TER",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349531938",
            "telephone_number": "772-359-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NW FEDERAL HWY",
            "address_2": "SUITE 403",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349941005",
            "telephone_number": "772-692-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPINSKI",
        "first_name": "ADAM",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PTA,ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA18513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.