Active NPI
Keri A Woloszynski, PT
- Physical Therapist
- Tamarac, FL
National Provider Identifier
1619979770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT22070
- Practice address
- 7160 N University Dr
Tamarac, FL 33321-2916 - Phone
- (954) 721-3556
- Fax
- (954) 721-7870
- NPI assigned
- Aug 10, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00007986 | WA | |
| Physical Therapist | 225100000X | PT22070 | FL | Primary |
Addresses
Primary practice location
7160 N University Dr
Tamarac, FL 33321-2916
Mailing address
7160 N University Dr
Tamarac, FL 33321-2916
Phone (954) 442-0272
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178421 | Other | WA | L&I |
| 8342172 | Medicaid | WA | |
| 60188T | Other | WA | REGENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT22070 | FL | MD | Physical Therapist |
| PT00007986 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Physiotherapy Associates Inc | Past | Accepting new patients | |
| Physiotherapy Associates Inc | Past | Accepting new patients | |
| Arthritis Center Inc | Past | Accepting new patients |
Locations
5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627
Organizations & group practices 4
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.
-
- Physical Therapist
- Jacksonville, FL
- NPI 1114542032
-
- Specialist
- Palm Harbor, FL
- NPI 1730259201
-
- Physical Therapy Clinic/Center
- Tamarac, FL
- NPI 1134219074
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619979770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7160 N UNIVERSITY DR",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212916",
"telephone_number": "954-442-0272",
"fax_number": "954-721-4966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7160 N UNIVERSITY DR",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212916",
"telephone_number": "954-721-3556",
"fax_number": "954-721-7870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLOSZYNSKI",
"first_name": "KERI",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00007986",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT22070",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "178421",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8342172",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "60188T",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tamarac, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.