Rafael Mastov, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT35434 Issued in FL

Practice address

5970 S Jog Rd Ste a-1
Lake Worth, FL 33467-6590

Phone

(561) 300-1999

Fax

(561) 300-1990

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• On Site Physical Therapy LLC

  • Physical Therapist
  • Jupiter, FL
  • NPI 1033318266
  Medicare reassignment NPD
• Doctor Medical of Ny PC

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1831140722
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1225177611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 98TH ST APT A3",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 S JOG RD STE A-1",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676590",
            "telephone_number": "561-300-1999",
            "fax_number": "561-300-1990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6360 98th St Apt A3",
            "address_purpose": "LOCATION",
            "city": "Rego Park",
            "state": "NY",
            "postal_code": "113742223",
            "country_code": "US",
            "telephone_number": "718-664-0590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASTOV",
        "first_name": "RAFAEL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029091",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA PT LICENSE",
            "identifier": "PT35334",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "029091",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02924418",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Marullo, PSY.D.
• Samantha Amelia Masi, LCSW
• Valerie L. Masiker, MS/CCC/SLP
• Brooke A Masters, MS CCC SLP
• Rebecca Danielle Masterson, MSW, LCSW
• Prakash K Mathai, RPH
• Ray Mathieu, BCBA
• Alena Arat Matig-a, PT
• Luis Matos
• Jose Luis Matta, DPT

• Physical Therapist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.