Active NPI
Christian Rakovec
- Physical Therapy Assistant
- Palm Springs, FL
National Provider Identifier
1851816151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA27772
- Practice address
- 1736 S Congress Ave
Palm Springs, FL 33461-2140 - Phone
- (561) 649-0321
- NPI assigned
- Aug 8, 2017
- Sex
- Male
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | PTA27772 | FL | Primary |
Addresses
Primary practice location
1736 S Congress Ave
Palm Springs, FL 33461-2140
Mailing address
8993 Okeechobee Blvd Ste 100
West Palm Beach, FL 33411-5144
Other practice location 1
2018 SE Federal Hwy
Stuart, FL 34994-3918
Phone (772) 781-1690
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA27772 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cora Health Services, Inc | Past | Accepting new patients | |
| Cora Health Services Inc | Past | Accepting new patients |
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.
-
- Rehabilitation Clinic/Center
- Stuart, FL
- NPI 1033143110
-
- Rehabilitation Clinic/Center
- Winter Garden, FL
- NPI 1104786805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1851816151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8993 OKEECHOBEE BLVD STE 100",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334115144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1736 S CONGRESS AVE",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334612140",
"telephone_number": "561-649-0321"
}
],
"practiceLocations": [
{
"address_1": "2018 SE Federal Hwy",
"address_purpose": "LOCATION",
"city": "Stuart",
"state": "FL",
"postal_code": "349943918",
"country_code": "US",
"telephone_number": "772-781-1690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAKOVEC",
"first_name": "CHRISTIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA27772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.