Active NPI
Paul Duport Jr., PT
- Physical Therapist
- St Thomas, VI
National Provider Identifier
1821151218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 126
- Practice address
- 9152 Sugar Estate Park
St. Thomas, VI 00802 - Phone
- (340) 776-7667
- Fax
- (340) 714-1891
- NPI assigned
- Dec 18, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 126 | VI | Primary |
Addresses
Primary practice location
9152 Sugar Estate Park
St. Thomas, VI 00802
Mailing address
9154 Estate Thomas
St Thomas, VI 00802-2687
Phone (965) 371-6528
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126 | VI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821151218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9154 ESTATE THOMAS",
"city": "ST THOMAS",
"state": "VI",
"postal_code": "008022687",
"telephone_number": "965-371-6528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9152 SUGAR ESTATE PARK",
"city": "ST. THOMAS",
"state": "VI",
"postal_code": "00802",
"telephone_number": "340-776-7667",
"fax_number": "340-714-1891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPORT",
"first_name": "PAUL",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VI",
"license": "126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Thomas, VI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.