Individual provider Active NPI

Juan Salvador Astudillo, R.P.T.

  • Physical Therapist
  • Ft Lauderdale, FL
National Provider Identifier
1669669305
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3201 W Commercial Blvd
Ste #116
Ft Lauderdale, FL 33309-3440
Phone
(954) 332-4445
NPI assigned
Sep 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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 NJ Primary

Addresses

Primary practice location

3201 W Commercial Blvd
Ste #116
Ft Lauderdale, FL 33309-3440

Mailing address

3201 W Commercial Blvd
Ste #116
Ft Lauderdale, FL 33309-3440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230217000653 NJ Practitioner - Physical Therapist in Private Practice 9638541741 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yonder Health Corporation Physical Therapist CurrentSince Jan 10, 2023 Accepting new patients
Medpro Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1669669305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W COMMERCIAL BLVD",
            "address_2": "STE #116",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W COMMERCIAL BLVD",
            "address_2": "STE #116",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093440",
            "telephone_number": "954-332-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTUDILLO",
        "first_name": "JUAN SALVADOR",
        "name_prefix": "Mr.",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.