Justin Stuart Gee Ming Ma, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT40605 Issued in FL

Practice address

6 Fairfield Blvd
Ponte Vedra Beach, FL 32082-4627

Phone

(904) 996-6922

NPI assigned

Sep 1, 2023

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Premier Physical Therapy and Rehabilitation of Jacksonville, Inc

  • Specialist
  • Jacksonville, FL
  • NPI 1285062851
  NPD (past)
• Premier Physical Therapy and Rehabilitation of Jacksonville, Inc

  • Physical Therapist
  • Ponte Vedra Beach, FL
  • NPI 1821855586
  NPD (past)

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1063298461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 PRESCOTT FALLS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322245841",
            "telephone_number": "904-223-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FAIRFIELD BLVD",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824627",
            "telephone_number": "904-996-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "JUSTIN",
        "middle_name": "STUART GEE MING",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Care Ponte Vedra
• Life Care Ponte Vedra Inc
• John H Linder, NP
• Laura Lui
• Hillary Marie Luke-Tindley, DNP, APRN, FNP-C
• Cameron Money Macchia
• Magnifydx LLC
• Pamela J Mahan, PA
• Smita Malhotra, DPM
• Dawn A. Mallard, MA CCC-SLP

• Physical Therapist in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.