Roman Avchukov, PT, DPT
Individual provider Active NPI Physical Therapist · West Palm Beach, FL
NPI 1821978578 · NPPES record last updated Sep 19, 2025
Key facts
- NPI
- 1821978578
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 43592 (FL)
- Practice address
- 5325 Greenwood Ave Ste 101
West Palm Beach, FL 33407-2452 - Phone
- (561) 844-5255
- NPI assigned
- Sep 4, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tenet Florida Physician Services II, LLC
Practice addresses (Care Compare)
1000 NE 56TH St
Fort Lauderdale, FL 33334-4149
Phone (954) 229-8608
5325 Greenwood Ave
West Palm Beach, FL 33407-2452
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251007000326 | FL | Practitioner - Physical Therapist in Private Practice | 2860999026 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43592 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tenet Florida Physician Services II, LLC | Physical Therapist | Current |
Accepting new patients |
| Tenet Florida Physician Services II, LLC | Current |
Accepting new patients |
Locations
1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608
5325 Greenwood Ave
Ste 101
West Palm Beach, FL 33407
Phone (561) 830-6093
Interoperability endpoints
- roman.avchukov.1@13023.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 43592 | FL | Yes |
Addresses
Primary practice location
5325 Greenwood Ave Ste 101
West Palm Beach, FL 33407-2452
Mailing address
PO Box 20802
Belfast, ME 04915-4105
Other providers in West Palm Beach, FL
- Autism Project of Palm Beach County
- Autregoce Services LLC
- Ava'S Non-Medical Home Healthcare
- Stephen V Avallone
- Maria Isabel Avalos Alamo
- Joseph Averbach
- Avery Cottage Alf, LLC
- Avery Cottage Inc
- Nicolle A Aviles
- Peter Alexis Aviles
All providers in West Palm Beach, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.