Individual provider Active NPI

Nicholas F Machupa, PT

  • Physical Therapist
  • Ocala, FL
National Provider Identifier
1861475501
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2358 Issued in FL
Practice address
2135 SW 19TH Avenue Rd Ste 103
Ocala, FL 34471-7877
Phone
(352) 237-4133
Fax
(352) 873-4581
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT2358 FL Primary

Addresses

Primary practice location

2135 SW 19TH Avenue Rd Ste 103
Ocala, FL 34471-7877

Mailing address

2230 SW 19TH Avenue Rd
Ocala, FL 34471-1391
Phone (352) 237-4133

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

Practice roles

OrganizationSpecialtyStatusNew patients
Solace Anesthesia, LLC PastSince Jul 1, 2012 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1861475501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 SW 19TH AVENUE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711391",
            "telephone_number": "352-237-4133",
            "fax_number": "352-873-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 SW 19TH AVENUE RD STE 103",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717877",
            "telephone_number": "352-237-4133",
            "fax_number": "352-873-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHUPA",
        "first_name": "NICHOLAS",
        "middle_name": "F",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT2358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.