Jeanette Czarnik

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

116799 Issued in TX

Practice address

1409 NE 4TH CT Apt 1
Fort Lauderdale, FL 33301-1376

Phone

(586) 995-0504

NPI assigned

Apr 6, 2015

Last updated

Apr 6, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VI, FL2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthpro Heritage Rehab and Fitness LLCGroup PAC ID 6507832573, 976 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Coral Gables, FL
  • NPI 1871972653

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Cog Restore, LLC

  • Rehabilitation Clinic/Center
  • St Thomas, VI
  • NPI 1194108761
  Medicare reassignment NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1982099099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 NE 4TH CT APT 1",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011376",
            "telephone_number": "586-995-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 NE 4TH CT APT 1",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011376",
            "telephone_number": "586-995-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZARNIK",
        "first_name": "JEANETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "116799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cypress Creek Medical Center,Inc
• Cypress Creek MRI, LLC
• Cypress Creek Outpatient Surgical Center, LLC
• Michael Thomas Cyrus, RPH
• Cytas Corp. (avon manor)
• D. R. Testing , Inc.
• Esteban D'Ugard, MD
• Felipe Da Silva Oliveira
• Franciane Da Silva Xavier Mach, PT
• Daniely Lins Da Silva, RBT

• Occupational Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.