Individual provider Active NPI

Keith Juario, P.T.

  • Physical Therapist
  • Ocala, FL
National Provider Identifier
1669639431
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT23738 Issued in FL
Practice address
8750 SW Sr 200
Suite 104B
Ocala, FL 34481-7811
Phone
(352) 873-8631
Fax
(352) 873-8671
NPI assigned
May 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT23738 FL Primary

Addresses

Primary practice location

8750 SW Sr 200
Suite 104B
Ocala, FL 34481-7811

Mailing address

PO Box 357279
Gainesville, FL 32635-7279
Phone (352) 373-7984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081110000784 FL Practitioner - Physical Therapist in Private Practice 4082773767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3305 SW 34TH Cir
Suite 203
Ocala, FL 34474-6606
Phone (352) 351-5019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fit for Life Physical Therapy, Inc Physical Therapist CurrentSince Oct 15, 2008 Accepting new patients
Fit for Life Physical Therapy, Inc Physical Therapist Current Accepting new patients
Fit for Life Physical Therapy, Inc Physical Therapist CurrentSince Oct 15, 2008 Accepting new patients

Locations

4343 Newberry Rd
Ste 4
Gainesville, FL 32607
Phone (352) 373-6565

3305 SW 34th Cir
Ste 203
Ocala, FL 34474
Phone (352) 351-5019

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1669639431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357279",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326357279",
            "telephone_number": "352-373-7984",
            "fax_number": "352-332-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 SW SR 200",
            "address_2": "SUITE 104B",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344817811",
            "telephone_number": "352-873-8631",
            "fax_number": "352-873-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUARIO",
        "first_name": "KEITH",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.