Active NPI
Justin Alex Joaquin, PTA
- Physical Therapist
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT38374
- Practice address
- 12315 Pembroke Rd
Pembroke Pines, FL 33025-1723 - Phone
- (954) 435-5300
- NPI assigned
- Jul 28, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA21481 | FL | |
| Physical Therapist | 225100000X | PT38374 | FL | Primary |
Addresses
Primary practice location
12315 Pembroke Rd
Pembroke Pines, FL 33025-1723
Mailing address
12841 NW 21St St
Pembroke Pines, FL 33028-2536
Phone (954) 326-1003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5400 N Federal Hwy
Suite 102 103 and 104
Ft Lauderdale, FL 33308-3203
Phone (954) 866-9699
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA21481 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Orthopaedic Institute PA | Current | Accepting new patients | |
| The Orthopaedic Institute, PA | Current | Accepting new patients |
Locations
5400 N Federal Hwy
Ste 102
Ft Lauderdale, FL 33308
Phone (954) 771-8772
4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310
146 SW Orthopedic Ct
Lake City, FL 32024
Phone (386) 755-9215
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.
-
- Orthopaedic Surgery Physician
- Gainesville, FL
- NPI 1740373547
-
- Orthopaedic Surgery Physician
- Jupiter, FL
- NPI 1992569198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1871978239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12841 NW 21ST ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330282536",
"telephone_number": "954-326-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12315 PEMBROKE RD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330251723",
"telephone_number": "954-435-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOAQUIN",
"first_name": "JUSTIN",
"middle_name": "ALEX",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-28",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA21481",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT38374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.