Justine M Baez, PTA

Primary specialty

SpecialistTaxonomy code 174400000X

License

PTA22221 Issued in FL

Practice address

1509 W Orange Blossom TRL
Apopka, FL 32712-2640

Phone

(407) 814-0436

Fax

(407) 814-0818

NPI assigned

Jul 29, 2010

Last updated

Jul 29, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aqua Rehabilitation, Inc.

  • Physical Therapist
  • Apopka, FL
  • NPI 1023420684
  NPD (past)
• Vicory Rehabilitation, Inc.

  dba Performance Rehabilitation

  • Physical Therapist
  • Apopka, FL
  • NPI 1184698185
  NPD (past)

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1427362623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 MORNING CREEK CIR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327128139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 W ORANGE BLOSSOM TRL",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327122640",
            "telephone_number": "407-814-0436",
            "fax_number": "407-814-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEZ",
        "first_name": "JUSTINE",
        "middle_name": "M",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "PTA22221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY NPI FOR MEDICARE",
            "identifier": "1184698185",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eber Azevedo, M.D.
• Phaela C Azulphar
• Lyris Deanna Bacchus Steuber, LMFT
• Ryan Alfaz Bacchus, MD
• Stephanie M Bachiller Rodriguez
• Ngozi Baez, APRN
• Bagsiyao Corporation (greenbriar retirement)
• Shiela A Bahn, MD
• Gerald Sidney Bahr, MD
• Debbie-Ann Natalie Bailey, D.M.D.

• Specialist in Apopka, FL
• Providers in Apopka, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.