NPIMap

Organization Active NPI

Neuro Physical Therapy & Sports Medicine II, LLC

  • Physical Therapy Clinic/Center
  • Vero Beach, FL
National Provider Identifier
1740034727
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NEURO PHYSICAL THERAPY & SPORTS MEDICINE II, LLC
Practice address
1533 US Highway 1
Vero Beach, FL 32960-5735
Phone
(772) 200-4733
Fax
(772) 245-4230
NPI assigned
Apr 15, 2024
Last updated
Apr 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Dr. Juvy Villanueva, DPTNPI 1770805400
Title
Owner
Phone
(561) 563-4846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1533 US Highway 1
Vero Beach, FL 32960-5735

Mailing address

322 NE 47TH PL
Deerfield Beach, FL 33064-4104
Phone (561) 563-4846

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240603001796 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3274075536 Receives reassigned benefits from 2 practitioners
Practice locations: Vero Beach, FL

National Provider Directory

National Provider Directory

Locations

1533 US Highway 1
Vero Beach, FL 32960
Phone (561) 563-4846

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1740034727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 NE 47TH PL",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330644104",
            "telephone_number": "561-563-4846",
            "fax_number": "772-245-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 US HIGHWAY 1",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605735",
            "telephone_number": "772-200-4733",
            "fax_number": "772-245-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO PHYSICAL THERAPY & SPORTS MEDICINE II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "JUVY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-563-4846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.