Active NPI
Benjamin Matalon, DPT
- Sports Physical Therapist
- Jupiter, FL
National Provider Identifier
1801461918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- 36334
- Practice address
- 1701 Military TRL Ste 145a
Jupiter, FL 33458-6330 - Phone
- (561) 781-0989
- NPI assigned
- May 21, 2021
- Last updated
- May 21, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 36334 | FL | Primary |
Addresses
Primary practice location
1701 Military TRL Ste 145a
Jupiter, FL 33458-6330
Mailing address
1701 Military TRL Ste 145a
Jupiter, FL 33458-6330
Phone (561) 781-0989
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36334 | FL | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jupiter Chiropractic PLLC | Current | Accepting new patients |
Locations
1701 Military Trl
Ste 145A
Jupiter, FL 33458
Phone (561) 781-0989
Organizations & group practices 1
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": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1801461918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 MILITARY TRL STE 145A",
"city": "JUPITER",
"state": "FL",
"postal_code": "334586330",
"telephone_number": "561-781-0989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 MILITARY TRL STE 145A",
"city": "JUPITER",
"state": "FL",
"postal_code": "334586330",
"telephone_number": "561-781-0989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATALON",
"first_name": "BENJAMIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-21",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "FL",
"license": "36334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.