Individual provider Active NPI

Jeremy Michael Hudak

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1750185583
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT44299 Issued in FL
Practice address
12975 Collier Blvd Ste A102
Naples, FL 34116-4004
Phone
(239) 300-4779
NPI assigned
Apr 2, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT44299 FL Primary
Physical Therapist 225100000X PT03971 RI

Addresses

Primary practice location

12975 Collier Blvd Ste A102
Naples, FL 34116-4004

Mailing address

12975 Collier Blvd Ste A102
Naples, FL 34116-4004
Phone (401) 615-3140

Other practice location 1

982 Tiogue Ave Ste 202
Coventry, RI 02816-6167
Phone (401) 615-3140

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250507000998 RI Practitioner - Physical Therapist in Private Practice 1951828516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Physical Therapy LLCGroup PAC ID 1951295187, 73 clinicians

Practice addresses (Care Compare)

982 Tiogue Ave
Coventry, RI 02816-6116
Phone (401) 615-3140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT44299FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Physical Therapy, LLC Physical Therapist CurrentSince Apr 7, 2025 Accepting new patients
Solex LLC PastSince Jul 31, 2023 Accepting new patients

Locations

982 Tiogue Ave
Ste 202
Coventry, RI 02816
Phone (401) 615-3140

982 Tiogue Ave
Coventry, RI 02816
Phone (401) 615-3140

535 Centerville Rd
Ste 101
Warwick, RI 02886
Phone (401) 737-4581

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": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1750185583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12975 COLLIER BLVD STE A102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341164004",
            "telephone_number": "401-615-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12975 COLLIER BLVD STE A102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341164004",
            "telephone_number": "239-300-4779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "982 Tiogue Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Coventry",
            "state": "RI",
            "postal_code": "028166167",
            "country_code": "US",
            "telephone_number": "401-615-3140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDAK",
        "first_name": "JEREMY",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-02",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT44299",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03971",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.