NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

St Jude Professional Care Inc

Physical Medicine & Rehabilitation Physician in Pembroke Pines, FL · enumerated 2015 · authorized official Nicole Nicodemo, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558743666

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name St Jude Professional Care Inc
Practice address 9806 Pines Blvd, Pembroke Pines, FL, 33024
Phone (786) 663-6394
Fax (954) 367-5246
Enumeration date Jun 25, 2015
Last updated in NPPES Feb 18, 2016

Taxonomy & classification

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License PT25877 (FL) Primary

Authorized official

Name Nicole Nicodemo
Title Owner
Phone (786) 663-6394

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for St Jude Professional Care Inc?
The NPI for St Jude Professional Care Inc is 1558743666, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for St Jude Professional Care Inc?
NPPES lists Nicole Nicodemo (Owner) as the authorized official for this organization.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-02-18.