Individual provider Active NPI

Justin Toro

  • Physical Therapist
  • Evans, GA
National Provider Identifier
1376414557
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10674 Issued in SC
Practice address
415 Town Park Blvd
Evans, GA 30809-3487
Phone
(706) 868-1707
NPI assigned
Sep 12, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 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 10674 SC Primary
Physical Therapist 225100000X CP049276T GA

Addresses

Primary practice location

415 Town Park Blvd
Evans, GA 30809-3487

Mailing address

415 Town Park Blvd
Evans, GA 30809-3487
Phone (706) 268-1707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251210003819 GA Practitioner - Physical Therapist in Private Practice 7113411760 Reassigns benefits to 2 organizations
I20260104000015 SC Practitioner - Physical Therapist in Private Practice 7113411760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evans Rehabilitation Services, LLCGroup PAC ID 2769467034, 20 clinicians

Practice addresses (Care Compare)

415 Town Park Blvd
Evans, GA 30809-3487
Phone (706) 868-1707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10674SCMDMental Health Counselor
CP049276TGAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Aiken Physical Therapy, LLC Physical Therapist CurrentSince Sep 27, 2025 Accepting new patients
Augusta Orthopedic & Sports Medicine Specialists PC CurrentSince Sep 17, 2025 Accepting new patients
Evans Rehabilitation Services, LLC Physical Therapist CurrentSince Sep 17, 2025 Accepting new patients
Augusta Orthopedic & Sports Medicine Specialists PC CurrentSince Sep 17, 2025 Accepting new patients

Locations

811 13th St
Ste 20
Augusta, GA 30901
Phone (706) 722-3401

1298 Interstate Pkwy
#A
Augusta, GA 30909
Phone (706) 863-9797

3650 J Dewey Gray Cir
Augusta, GA 30909
Phone (706) 863-9797

415 Town Park Blvd
Evans, GA 30809
Phone (706) 690-4372

2511 Associates Way
Evans, GA 30809
Phone (706) 722-3401

501 Sparta Rd
Ste C
Sandersville, GA 31082
Phone (478) 552-3989

943 Pine Log Rd
Aiken, SC 29803
Phone (803) 648-2366

399 Silver Bluff Rd
Aiken, SC 29803
Phone (803) 293-1540

410 University Pkwy
Ste 1000
Aiken, SC 29801
Phone (803) 644-4264

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23890/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1757635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1376414557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 TOWN PARK BLVD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093487",
            "telephone_number": "706-268-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 TOWN PARK BLVD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093487",
            "telephone_number": "706-868-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORO",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10674",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP049276T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.