Active NPI
Justin Toro
- Physical Therapist
- Evans, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10674
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, SC
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10674 | SC | MD | Mental Health Counselor |
| CP049276T | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Aiken Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Augusta Orthopedic & Sports Medicine Specialists PC | Current | Accepting new patients | |
| Evans Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
| Augusta Orthopedic & Sports Medicine Specialists PC | Current | 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
- 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.
-
- Physical Therapist
- Evans, GA
- NPI 1093715773
-
- Orthopaedic Surgery Physician
- Augusta, GA
- NPI 1457389504
-
- Orthopaedic Surgery Physician
- Aiken, SC
- NPI 1952076382
-
- Physical Therapist
- Aiken, SC
- NPI 1558653196
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.