Individual provider Active NPI

Benjamin Matalon, DPT

  • Sports Physical Therapist
  • Jupiter, FL
National Provider Identifier
1801461918
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
36334 Issued in FL
Practice address
1701 Military TRL Ste 145a
Jupiter, FL 33458-6330
Phone
(561) 781-0989
NPI assigned
May 21, 2021
Last updated
May 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
36334FLMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Chiropractic PLLC CurrentSince Jun 27, 2021 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.

Verify at the official NPI Registry.