Roman Jurkiewicz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT28871 Issued in FL

Practice address

4020 W Palm Aire Dr Apt 201
Pompano Beach, FL 33069-4159

Phone

(954) 860-3117

NPI assigned

Mar 25, 2019

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Restoration Physical Therapy

  • Physical Therapist
  • Pompano Beach, FL
  • NPI 1831651678
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1497216378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 E ATLANTIC BLVD # 1064",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624939",
            "telephone_number": "954-860-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 W PALM AIRE DR APT 201",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694159",
            "telephone_number": "954-860-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURKIEWICZ",
        "first_name": "ROMAN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT28871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Joyce, CMSC II, CRSS, CNDAI
• Shameka Rene Joyner
• Julia H Joh, DMD PA
• Mohammad Junaid, MM22626
• Julia Junco-Marante, MD
• Dorine Jusme
• Sabiha Kabir
• Robin Kabrich
• Abigail Lomarda Kaczmarzewski, MD
• Stephen M Kadet, MD

• Physical Therapist in Pompano Beach, FL
• Providers in Pompano 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 Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.