Dr. Paul Kudlick, PT, DPT
Physical Therapist in Orange City, FL. Individual provider (NPI-1).
NPI number1194239459
StatusActive
Last updated in NPPESAug 21, 2023
Details
- NPI
- 1194239459
- Entity type
- Individual (NPI-1)
- Name
- Dr. Paul Kudlick
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 24, 2017
- Certification date
- Aug 21, 2023
- Last updated
- Aug 21, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT33066 | FL | Yes |
Practice location
2864 Wellness Ave Ste 100Orange City, FL 32763-8335
Phone 386-575-4027 · Fax 386-575-4028
Mailing address
2864 Wellness Ave Ste 100Orange City, FL 32763-8335
Phone 386-575-4027 · Fax 386-575-4028
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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