Individual provider Active NPI

Janine Lubrico Simbajon

  • Physical Therapist
  • Sunrise, FL
National Provider Identifier
1851135958
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12121 Issued in CT
Practice address
1580 Sawgrass Corporate Pkwy Ste 320
Sunrise, FL 33323-2859
Phone
(800) 886-8108
NPI assigned
Jun 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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 12121 CT Primary

Addresses

Primary practice location

1580 Sawgrass Corporate Pkwy Ste 320
Sunrise, FL 33323-2859

Mailing address

1580 Sawgrass Corporate Pkwy Ste 320
Sunrise, FL 33323-2859

Other practice location 1

1615 State Highway 17
Young Harris, GA 30582-1882
Phone (706) 896-2771

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241017003264 OR Practitioner - Physical Therapist in Private Practice 3678005469 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

365 Westfield St
Silverton, OR 97381-1936
Phone (503) 873-6111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12121CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince Jul 29, 2024 Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist CurrentSince Jul 29, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419

365 Westfield St
Silverton, OR 97381
Phone (503) 873-6111

Organizations & group practices 2

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": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1851135958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 SAWGRASS CORPORATE PKWY STE 320",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 SAWGRASS CORPORATE PKWY STE 320",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232859",
            "telephone_number": "800-886-8108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 State Highway 17",
            "address_purpose": "LOCATION",
            "city": "Young Harris",
            "state": "GA",
            "postal_code": "305821882",
            "country_code": "US",
            "telephone_number": "706-896-2771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMBAJON",
        "first_name": "JANINE",
        "middle_name": "LUBRICO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.