MR. JOSE RULLAN JR. GARDUQUE – Physical Therapist, NPI 1174944128

MR. JOSE RULLAN JR. GARDUQUE is a healthcare provider. based in Sunrise, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 009595 (CT). The NPI Number for MR. JOSE RULLAN JR. GARDUQUE is 1174944128

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOSE RULLAN JR. GARDUQUE
NPI
1174944128
Phone
(954) 739-4247
Address
1580 SAWGRASS CORPORATE PKWY
Enumeration Date
18 December 2013
Last Update Date
18 December 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2034385555
Graduation Year
1999 (27 years ago)
PAC ID
2365870342
Group Practice PAC ID
7416990569
Professional Enrollment ID
I20200325003260
Address ID
CT068774657RI27XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:12State licenses:2Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for MR. JOSE RULLAN JR. GARDUQUE

  • 1580 SAWGRASS CORPORATE PKWY

    SUITE 100

    SUNRISE, FL 333232859

    Phone: (954) 739-4247

    Fax: (954) 332-0671

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-03-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200325003260IPhysical Therapist In Private PracticeCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes47837$0
97530Therapy procedure using functional activities23835$0
97116Therapy procedure for walking training, each 15 minutes23034$0
View full utilization report →

Insurance plans in this area (ZIP 33323)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416990569View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Qualified Speech Language PathologistCT
Nurse PractitionerCT
Occupational Therapist In Private PracticeMA
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeCT

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. JOSE RULLAN JR. GARDUQUE?
MR. JOSE RULLAN JR. GARDUQUE — NPI 1174944128 — is the standard way to identify this listing.
Is MR. JOSE RULLAN JR. GARDUQUE listed as active for patients and plans?
The listing shows MR. JOSE RULLAN JR. GARDUQUE as active in the NPI system.
What is MR. JOSE RULLAN JR. GARDUQUE best known for clinically?
Directory data describes MR. JOSE RULLAN JR. GARDUQUE with Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does MR. JOSE RULLAN JR. GARDUQUE serve?
MR. JOSE RULLAN JR. GARDUQUE's listing highlights Sunrise, Florida; more addresses can appear in NPPES.
Why does MR. JOSE RULLAN JR. GARDUQUE have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.