Active NPI
Jacqueline Wendy Papadopoulos, PT
- Physical Therapist
- Delray Beach, FL
National Provider Identifier
1679850804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT10142
- Practice address
- 13550 Jog Rd
Suite 100
Delray Beach, FL 33446-3808 - Phone
- (561) 496-5144
- Fax
- (561) 496-5201
- NPI assigned
- Nov 16, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT10142 | FL | Primary |
Addresses
Primary practice location
13550 Jog Rd
Suite 100
Delray Beach, FL 33446-3808
Mailing address
13550 Jog Rd
Suite 100
Delray Beach, FL 33446-3808
Phone (561) 496-5144
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT10142 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1679850804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13550 JOG RD",
"address_2": "SUITE 100",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334463808",
"telephone_number": "561-496-5144",
"fax_number": "561-496-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13550 JOG RD",
"address_2": "SUITE 100",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334463808",
"telephone_number": "561-496-5144",
"fax_number": "561-496-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPADOPOULOS",
"first_name": "JACQUELINE",
"middle_name": "WENDY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-16",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT10142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.