Juan P Mateus

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA28630 Issued in FL

Practice address

2964 N State Road 7 Ste 206
Margate, FL 33063-5718

Phone

(954) 580-4080

NPI assigned

Jul 20, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1639656804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11758 NW 57TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763608",
            "telephone_number": "954-821-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2964 N STATE ROAD 7 STE 206",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635718",
            "telephone_number": "954-580-4080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 NE 20th Ter",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333084510",
            "country_code": "US",
            "telephone_number": "954-771-8177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATEUS",
        "first_name": "JUAN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA28630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Max'S Dental

• Physical Therapy Assistant in Margate, FL
• Providers in Margate, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.