NPIMap

Organization Active NPI

Physical Therapy Specialists of Hunters Creek, LLC

  • Physical Therapy Clinic/Center
  • Orlando, FL
National Provider Identifier
1851726012
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT20492 Issued in FL
Legal business name
PHYSICAL THERAPY SPECIALISTS OF HUNTERS CREEK, LLC
Practice address
14115 Town Loop Blvd
Suite 200
Orlando, FL 32837-4839
Phone
(407) 601-3922
NPI assigned
Sep 6, 2013
Last updated
Dec 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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

Authorized official

Name
David KrawczykNPI 1689611253
Title
Owner/Managing Member
Phone
(407) 601-3922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT20492 FL Primary

Addresses

Primary practice location

14115 Town Loop Blvd
Suite 200
Orlando, FL 32837-4839

Mailing address

14115 Town Loop Blvd
Suite 200
Orlando, FL 32837-4839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131018001356 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1355576745 Receives reassigned benefits from 9 practitioners
Practice locations: Davenport, FL; Orlando, FL
O20210318001376 FL DME Supplier - Independently-Practicing Physical Therapist 1355576745 Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

104 Park Place Blvd
Ste B
Davenport, FL 33837
Phone (863) 547-9793

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1851726012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14115 TOWN LOOP BLVD",
            "address_2": "SUITE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328374839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14115 TOWN LOOP BLVD",
            "address_2": "SUITE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328374839",
            "telephone_number": "407-601-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SPECIALISTS OF HUNTERS CREEK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "KRAWCZYK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "407-601-3922"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT20492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.