Individual provider Active NPI

Catherine Anne Accurso, PT

  • Physical Therapist
  • St Augustine, FL
National Provider Identifier
1699716092
Registry record updated May 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT13145 Issued in FL
Practice address
84 Theatre Dr Ste 500
St Augustine, FL 32086-3131
Phone
(904) 222-6440
Fax
(904) 222-6450
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT13145 FL
Physical Therapist 225100000X PT13145 FL Primary

Addresses

Primary practice location

84 Theatre Dr Ste 500
St Augustine, FL 32086-3131

Mailing address

84 Theatre Dr Ste 500
St Augustine, FL 32086-3131
Phone (305) 962-5940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061206000443 FL Practitioner - Physical Therapist in Private Practice 3274532973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adio, Inc 2 clinicians

Practice addresses (Care Compare)

84 Theatre Dr
Suite 500
St Augustine, FL 32086-3131
Phone (904) 222-6450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
In Balance Physical Therapy Physical Therapist CurrentSince Apr 5, 2023 Accepting new patients

Locations

84 Theatre Dr
Ste 500
St Augustine, FL 32086
Phone (904) 222-6440

Organizations & group practices 2

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683331200000",
    "number": "1699716092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 THEATRE DR STE 500",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863131",
            "telephone_number": "305-962-5940",
            "fax_number": "904-222-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 THEATRE DR STE 500",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863131",
            "telephone_number": "904-222-6440",
            "fax_number": "904-222-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACCURSO",
        "first_name": "CATHERINE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-05-06",
        "certification_date": "2023-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT13145",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT13145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.