Joshua Bobineaux, DPT
Individual provider Active NPI Physical Therapist · Indialantic, FL
NPI 1124756796 · NPPES record last updated Mar 23, 2026
Key facts
- NPI
- 1124756796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT39218 (FL)
- Practice address
- 236 5TH Ave
Indialantic, FL 32903-3156 - Phone
- (754) 715-0402
- NPI assigned
- Aug 11, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physical Therapy Professionals LLC
Practice addresses (Care Compare)
236 5TH Ave
Indialantic, FL 32903-3156
Phone (321) 389-1999
8045 Spyglass Hill Rd
Suite 103
Melbourne, FL 32940-8567
Phone (321) 757-5515
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220829000627 | FL | Practitioner - Physical Therapist in Private Practice | 3173907987 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fortified Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Professionals, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
236 5th Ave
Indialantic, FL 32903
Phone (321) 536-5684
8045 Spyglass Hill Rd
Ste 103
Melbourne, FL 32940
Phone (321) 757-5515
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT39218 | FL | Yes |
Addresses
Primary practice location
236 5TH Ave
Indialantic, FL 32903-3156
Mailing address
2907 Tortola Way
Hollywood, FL 33024-8514
Phone (754) 715-0402
Other practice location 1
8045 Spyglass Hill Rd Ste 103
Melbourne, FL 32940-8567
Phone (321) 757-5515
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT39218 | Other | FL | STATE OF FLORIDA |
Other providers in Indialantic, FL
- Beyond Bliss Wellness, LLC
- Birth Naturally Brevard, LLC
- Robert Bisset
- Annmarie Bloch
- Boardwalk Urgent Care
- Susan Darlene Bond
- Danielle A. Boucher
- Marcela Bowie
- Ashley Brackett
- Brevard Spine Center LLC
All providers in Indialantic, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.