Jennifer Opalecky

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.025445 Issued in IL

Practice address

104 Park Place Blvd
Davenport, FL 33837-6866

Phone

(863) 547-9793

Fax

(863) 547-9794

NPI assigned

Sep 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, FL2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Specialists of Hunters Creek LLCGroup PAC ID 1355576745, 6 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.

• Physical Therapy Specialists of Hunters Creek, LLC

  • Physical Therapy Clinic/Center
  • Orlando, FL
  • NPI 1851726012

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Orland Therapy Specialists LTD

  • Orthopedic Physical Therapist
  • Orland Park, IL
  • NPI 1568589844
  NPD

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

{
    "created_epoch": "1601164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1811504541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PARK PLACE BLVD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338376866",
            "telephone_number": "863-547-9793",
            "fax_number": "863-547-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PARK PLACE BLVD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338376866",
            "telephone_number": "863-547-9793",
            "fax_number": "863-547-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPALECKY",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-27",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.025445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rubin Orelhomme
• Orlando Sleep Apnea Solution
• Isis Orozco

• Physical Therapist in Davenport, FL
• Providers in Davenport, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.