Individual provider Active NPI

Jovanni Taveras, PT

  • Physical Therapist
  • Surprise, AZ
National Provider Identifier
1265040042
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT37031 Issued in FL
Practice address
16968 W Bell Rd # D401
Surprise, AZ 85374-8943
Phone
(623) 299-9190
Fax
(623) 299-9191
NPI assigned
Jul 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1331582 TX
Physical Therapist 225100000X PT37031 FL Primary

Addresses

Primary practice location

16968 W Bell Rd # D401
Surprise, AZ 85374-8943

Mailing address

21756 State Road 54
Ste 102
Lutz, FL 33549-2905
Phone (727) 475-5540

Other practice location 1

6511 Johns Rd
Tampa, FL 33634-4738
Phone (305) 588-2935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA, OH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240718002113 AZ Practitioner - Physical Therapist in Private Practice 6204245806 Reassigns benefits to 1 organization
I20241223000358 WA Practitioner - Physical Therapist in Private Practice 6204245806 Reassigns benefits to 1 organization
I20251110001030 OH Practitioner - Physical Therapist in Private Practice 6204245806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9100 Centre Pointe Dr
Suite 150
West Chester, OH 45069-4840
Phone (513) 354-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT37031FLMDPhysical Therapist
1331582TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince Dec 16, 2024 Accepting new patients
Beacon Orthopaedics & Sports Medicine, LTD Physical Therapist CurrentSince Nov 1, 2025 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD CurrentSince Nov 1, 2025 Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC CurrentSince Jun 3, 2024 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince Dec 16, 2024 Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC Current Accepting new patients
Spooner Physical Therapy and Hand Rehab, PC Physical Therapist CurrentSince Jun 3, 2024 Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC PastSince Jun 9, 2024 Accepting new patients

Locations

9097 E Desert Cove Ave
Ste 110
Scottsdale, AZ 85260
Phone (480) 860-4298

14287 N 87th St
Ste 220
Scottsdale, AZ 85260

16968 W Bell Rd
Ste 401
Surprise, AZ 85374
Phone (623) 374-2910

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

9100 Centre Pointe Dr
West Chester, OH 45069
Phone (513) 682-0158

9100 Centre Pointe Dr
Ste 150
West Chester, OH 45069

9100 Centre Pointe Dr
Ste 160
West Chester, OH 45069
Phone (513) 682-0158

945 Hildebrand Ln NE
Ste 220
Bainbridge Island, WA 98110
Phone (206) 842-6288

2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764

2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jovanni.taveras.p1@direct.beaconortho.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1265040042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21756 STATE ROAD 54",
            "address_2": "STE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335492905",
            "telephone_number": "727-475-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16968 W BELL RD # D401",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748943",
            "telephone_number": "623-299-9190",
            "fax_number": "623-299-9191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6511 Johns Rd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336344738",
            "country_code": "US",
            "telephone_number": "305-588-2935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAVERAS",
        "first_name": "JOVANNI",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-17",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1331582",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.