Individual provider Active NPI

Brian Joseph, PT, DPT

  • Physical Therapist
  • Plantation, FL
National Provider Identifier
1760038590
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34938 Issued in FL
Practice address
600 S Pine Island Rd Ste 103
Plantation, FL 33324-3178
Phone
(954) 474-2525
NPI assigned
Aug 16, 2019
Last updated
Aug 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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 PT34938 FL Primary

Addresses

Primary practice location

600 S Pine Island Rd Ste 103
Plantation, FL 33324-3178

Mailing address

2600 Lost Ball Dr
Sebring, FL 33872-3854
Phone (863) 214-6880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210427001617 FL Practitioner - Physical Therapist in Private Practice 7911315213 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics Pta, Inc. Current Accepting new patients
Rehabclinics Pta, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Apr 23, 2021 Accepting new patients
Rehabclinics Pta, Inc. CurrentSince Oct 1, 2023 Accepting new patients

Locations

1817 E Commercial Blvd
Ft Lauderdale, FL 33308
Phone (954) 836-8980

5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627

12543 Miramar Pkwy
#108
Miramar, FL 33027
Phone (754) 764-7490

600 S Pine Island Rd
Ste 103
Plantation, FL 33324
Phone (954) 457-4000

Organizations & group practices 4

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": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1760038590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 LOST BALL DR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338723854",
            "telephone_number": "863-214-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S PINE ISLAND RD STE 103",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243178",
            "telephone_number": "954-474-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "BRIAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.