Active NPI
Jupiter West Medical Center, Inc
- Physical Therapist
- Port St Lucie, FL
National Provider Identifier
1518210681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- JUPITER WEST MEDICAL CENTER, INC
- Practice address
- 672 SW Prima Vista Blvd
Suite 202
Port St Lucie, FL 34983-1820 - Phone
- (561) 744-7373
- Fax
- (561) 743-1192
- NPI assigned
- Oct 26, 2012
- Last updated
- Oct 26, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Papa, D.C.
- Title
- Ceo
- Phone
- (561) 744-7373
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
672 SW Prima Vista Blvd
Suite 202
Port St Lucie, FL 34983-1820
Mailing address
2632 W Indiantown Rd
Jupiter, FL 33458-5889
Phone (561) 744-7373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080805000566 | FL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 5193759371 |
Receives reassigned benefits from 2 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Jupiter, FL; Lake Worth, FL; Palm Beach Gardens, FL; Port St Lucie, FL |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Physical Therapist
- Palm Beach Gardens, FL
- NPI 1265704811
O20080805000566
-
- Physical Therapist
- Port St Lucie, FL
- NPI 1336492412
O20080805000566
-
- Physical Therapist
- Port St Lucie, FL
- NPI 1497415053
O20080805000566
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351209600000",
"number": "1518210681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2632 W INDIANTOWN RD",
"city": "JUPITER",
"state": "FL",
"postal_code": "334585889",
"telephone_number": "561-744-7373",
"fax_number": "561-743-1192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "672 SW PRIMA VISTA BLVD",
"address_2": "SUITE 202",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349831820",
"telephone_number": "561-744-7373",
"fax_number": "561-743-1192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUPITER WEST MEDICAL CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-26",
"last_updated": "2012-10-26",
"status": "A",
"authorized_official_last_name": "PAPA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "561-744-7373",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.