Individual provider Active NPI

Tracy C. Cueli-Dutil, DPT

  • Neurology Physical Therapist
  • Weston, FL
National Provider Identifier
1720144504
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
PT17075 Issued in FL
Practice address
55 Weston Rd
Suite #103
Weston, FL 33326-1169
Phone
(954) 383-4239
Fax
(954) 435-2810
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X PT17075 FL Primary
Pediatric Physical Therapist 2251P0200X PT17075 FL

Addresses

Primary practice location

55 Weston Rd
Suite #103
Weston, FL 33326-1169

Mailing address

16322 SW 14TH St
Pembroke Pines, FL 33027-5121
Phone (954) 383-4239

Other identifiers 1

IdentifierTypeStateIssuer
Y8749OtherFLBCBS PROVIDER NUMBER

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

LicenseStateTypeSpecialty
PT17075FLMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Physical Therapy on the Move, PA Neurology Past Accepting new patients

Organizations & group practices 1

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1720144504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16322 SW 14TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330275121",
            "telephone_number": "954-383-4239",
            "fax_number": "954-435-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WESTON RD",
            "address_2": "SUITE #103",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261169",
            "telephone_number": "954-383-4239",
            "fax_number": "954-435-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUELI-DUTIL",
        "first_name": "TRACY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "FL",
            "license": "PT17075",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT17075",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "Y8749",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.