Organization Active NPI

Josuzo Corp

  • Physical Therapy Clinic/Center
  • Coral Springs, FL
National Provider Identifier
1689405169
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
JOSUZO CORP
Practice address
9690 W Sample Rd Ste 202
Coral Springs, FL 33065-4053
Phone
(954) 775-0220
NPI assigned
Aug 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Jose Antonio Dominguez
Title
Owner/Authorized Official
Phone
(954) 775-0220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

9690 W Sample Rd Ste 202
Coral Springs, FL 33065-4053

Mailing address

9690 W Sample Rd Ste 202
Coral Springs, FL 33065-4053
Phone (954) 775-0220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251111002679 FL Part B Supplier - Clinic/Group Practice 5395236079 Receives reassigned benefits from 2 practitioners
Practice locations: Coral Springs, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1689405169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9690 W SAMPLE RD STE 202",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654053",
            "telephone_number": "954-775-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9690 W SAMPLE RD STE 202",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654053",
            "telephone_number": "954-775-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSUZO CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "954-775-0220"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.