Active NPI
Justin Stine, PTA
- Physical Therapy Clinic/Center
- Boynton Beach, FL
National Provider Identifier
1740045640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PTA31180
- Practice address
- 2814 SW 4TH St
Boynton Beach, FL 33435-7902 - Phone
- (561) 294-1364
- NPI assigned
- Feb 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PTA31180 | FL | Primary |
Addresses
Primary practice location
2814 SW 4TH St
Boynton Beach, FL 33435-7902
Mailing address
2814 SW 4TH St
Boynton Beach, FL 33435-7902
Phone (561) 294-1364
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Stinetherapy.com | Direct | Advanced Therapy Solutions, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA31180 | FL | MD | Physical Therapy Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1740045640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2814 SW 4TH ST",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334357902",
"telephone_number": "561-294-1364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2814 SW 4TH ST",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334357902",
"telephone_number": "561-294-1364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STINE",
"first_name": "JUSTIN",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-19",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "PTA31180",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Stinetherapy.com",
"affiliation": "Y",
"endpointDescription": "Justin Stine PTA",
"affiliationName": "Advanced Therapy Solutions, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2814 SW 4th St",
"city": "Boynton Beach",
"state": "FL",
"country_code": "US",
"postal_code": "334357902",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.