Justin C Delicato, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA24306 Issued in FL

Practice address

1845 Town Center Blvd
Suite 410
Fleming Island, FL 32003-3356

Phone

(904) 621-0396

Fax

(904) 621-0397

NPI assigned

Aug 2, 2013

Last updated

Aug 2, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jacksonville Orthopaedic Institute Inc

  • Orthopaedic Surgery Physician
  • Jacksonville, FL
  • NPI 1346298023
  NPD (past)

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1922430891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SAN MARCO BLVD",
            "address_2": "SUITE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078568",
            "telephone_number": "904-858-7045",
            "fax_number": "904-858-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 TOWN CENTER BLVD",
            "address_2": "SUITE 410",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320033356",
            "telephone_number": "904-621-0396",
            "fax_number": "904-621-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELICATO",
        "first_name": "JUSTIN",
        "middle_name": "C",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA24306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Marie Decker
• Brian John Deegan, MD
• Stephania Dejno
• Stacey Delanoit, PSY.D., LP
• Vanessa Delgado, AU.D
• Amy Demetrick, RBT
• Desiree Griffin, M.S., LMHC
• Dennis D Dewey, MD
• Diacare Specialists, LLC
• Armando John Dibenedetto, LMT

• Physical Therapy Assistant in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.