Individual provider Active NPI

Justin Luis Machado, DPT

  • Physical Therapist
  • West Palm Beach, FL
National Provider Identifier
1831776848
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36947 Issued in FL
Practice address
4751 Sable Pine Cir Apt 950D2
West Palm Beach, FL 33417-2798
Phone
(786) 348-1602
NPI assigned
Mar 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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 PT36947 FL Primary

Addresses

Primary practice location

4751 Sable Pine Cir Apt 950D2
West Palm Beach, FL 33417-2798

Mailing address

4751 Sable Pine Cir Apt 950D2
West Palm Beach, FL 33417-2798
Phone (786) 348-1602

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210331000747 FL Practitioner - Physical Therapist in Private Practice 3971910324 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saylor Physical Therapy West Palm Beach LLCGroup PAC ID 1658599089, 7 clinicians

Practice addresses (Care Compare)

2090 Palm Beach Lakes Blvd
Suite 900
West Palm Beach, FL 33409-6508
Phone (561) 335-5965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Action Physical Therapy, LLC Physical Therapist CurrentSince Mar 29, 2021 Accepting new patients
Saylor Physical Therapy West Palm Beach LLC CurrentSince Feb 16, 2021 Accepting new patients
Action Physical Therapy, LLC Physical Therapist CurrentSince Mar 29, 2021 Accepting new patients
Action Physical Therapy, LLC Physical Therapist Current Accepting new patients
Saylor Physical Therapy Physical Therapist PastSince May 9, 2021 Accepting new patients

Locations

4971 Le Chalet Blvd
Ste 100
Boynton Beach, FL 33436
Phone (561) 733-5590

7115 Lake Worth Rd
Lake Worth, FL 33467
Phone (561) 318-7432

106 Ponce de Leon St
Royal Palm Beach, FL 33411
Phone (561) 236-3741

12008 South Shore Blvd
Ste 201
Wellington, FL 33414
Phone (561) 429-5127

2090 Palm Beach Lakes Blvd
Ste 900
West Palm Beach, FL 33409
Phone (561) 335-5965

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1831776848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4751 SABLE PINE CIR APT 950D2",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334172798",
            "telephone_number": "786-348-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4751 SABLE PINE CIR APT 950D2",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334172798",
            "telephone_number": "786-348-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHADO",
        "first_name": "JUSTIN",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.