Justin Neidich, LPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT35221 Issued in FL

Practice address

3434 NE 12TH Ave
Oakland Park, FL 33334-4523

Phone

(954) 900-8842

NPI assigned

Mar 20, 2012

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 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

83.26 of 100Reported as group

Quality

86.58

Improvement activities

40

Cost

68.79

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Florida Luna Care Physical Therapy LLC

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1114542032
  Medicare reassignment NPD
• In Home Rehab of Florida PLLC

  • Physical Therapist
  • Hollywood, FL
  • NPI 1043613342
  Medicare reassignment NPD
• General Family Rehab Inc

  • Physical Medicine & Rehabilitation Physician
  • Oakland Park, FL
  • NPI 1538677158
  NPD Authorized official

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1285909507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7465 NW 1ST MNR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172270",
            "telephone_number": "954-213-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 NE 12TH AVE",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344523",
            "telephone_number": "954-900-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIDICH",
        "first_name": "JUSTIN",
        "credential": "LPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-20",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01437200",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "PT35221",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alma Elena Naranjo, RDH
• Natc Ft Lauderdale
• National Nursing Pool, Inc
• Naturality Health Solutions LLC
• Juliana Navarro, D.M.D.
• Neighborly Care Services LLC
• Gianni Yanique Neil, MD
• Neilen Inc.
• Jess Alan Neilen, D.C.
• Marta Maria Neira Cata

• Physical Therapist in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.