Jack Martins Nunes, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT26672 Issued in FL

Practice address

9117 SW 87TH Ave
Miami, FL 33176-2302

Phone

(305) 279-2335

Fax

(305) 279-7989

NPI assigned

Oct 21, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Miami, LM Miller School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ortho Sports Physical Therapy LLCGroup PAC ID 2860801818, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ortho Sports Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Pinecrest, FL
  • NPI 1255944708

  FL

  Medicare reassignment Care Compare group NPD
• Joseph I Fernandez MD PA

  • Non-Pharmacy Dispensing Site
  • Miami, FL
  • NPI 1295775948
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1730464751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 166482",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331166482",
            "telephone_number": "305-275-5677",
            "fax_number": "305-279-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9117 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762302",
            "telephone_number": "305-279-2335",
            "fax_number": "305-279-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNES",
        "first_name": "JACK",
        "middle_name": "MARTINS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "PT26672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PT 26672",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nulyfe Group Service Inc
• Number One Lab LLC
• Number-One Rehab Care Inc
• Luis Carlos Nunes Vega
• Datti Nunes
• Nunez ABA Therapy LLC
• Nunez Adult Care II Inc
• Nunez Adult Care, Inc
• Yanisleidy Nunez Baez
• Edgar Nunez Blanco, M.D.

• All providers in Miami, FL
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.