Organization Active NPI

Nau Physical Therapy and Wellness LLC

  • Physical Medicine & Rehabilitation Physician
  • Port Saint Lucie, FL
National Provider Identifier
1972967743
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT23414 Issued in FL
Legal business name
NAU PHYSICAL THERAPY AND WELLNESS LLC
Practice address
10023 S US Highway 1
Suite a
Port Saint Lucie, FL 34952-5643
Phone
(772) 342-1020
NPI assigned
Apr 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Sokunthea Nau, DPTNPI 1700076049
Title
Manager
Phone
(772) 342-1020

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 Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X PT23414 FL Primary

Addresses

Primary practice location

10023 S US Highway 1
Suite a
Port Saint Lucie, FL 34952-5643

Mailing address

10023 S US Highway 1
Suite a
Port Saint Lucie, FL 34952-5643
Phone (772) 342-1020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160915000268 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5991091092 Receives reassigned benefits from 2 practitioners
Practice locations: Port Saint Lucie, FL

National Provider Directory

National Provider Directory

Locations

8509 S US Highway 1
Port St Lucie, FL 34952
Phone (772) 380-4549

Practitioners & affiliated clinicians

Practitioners 2

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": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1972967743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10023 S US HIGHWAY 1",
            "address_2": "SUITE A",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525643",
            "telephone_number": "772-342-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10023 S US HIGHWAY 1",
            "address_2": "SUITE A",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525643",
            "telephone_number": "772-342-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAU PHYSICAL THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "NAU",
        "authorized_official_first_name": "SOKUNTHEA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "772-342-1020",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PT23414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.