Individual provider Active NPI

Justin W. Stiver, DPT

  • Physical Therapist
  • Venice, FL
National Provider Identifier
1922468818
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 31147 Issued in FL
Practice address
1499 E Venice Ave Unit a
Venice, FL 34292-3207
Phone
(941) 451-8657
Fax
(941) 218-5627
NPI assigned
Mar 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 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 PT 31147 FL Primary

Addresses

Primary practice location

1499 E Venice Ave Unit a
Venice, FL 34292-3207

Mailing address

3650 N Access Rd
Englewood, FL 34224-8655
Phone (941) 460-3831

Other identifiers 1

IdentifierTypeStateIssuer
PT31147OtherFLPHYSICAL THERAPIST LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160404002250 FL Practitioner - Physical Therapist in Private Practice 5092012120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Therapy Florida LLCGroup PAC ID 5395091722, 24 clinicians

Practice addresses (Care Compare)

450 S Tamiami TRL
Osprey, FL 34229-9206
Phone (941) 918-9575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 31147FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Therapy Florida, LLC Physical Therapist CurrentSince Jan 1, 2018 Accepting new patients
Total Therapy Florida LLC PastSince Jul 21, 2024 Accepting new patients
Total Therapy Florida, LLC Past Accepting new patients
Total Therapy Florida LLC Past Accepting new patients
Total Therapy Florida LLC Past Accepting new patients
Total Therapy Florida LLC Past Accepting new patients
Total Therapy Florida LLC Past Accepting new patients

Locations

3650 N Access Rd
Englewood, FL 34224
Phone (941) 460-3831

14580 Tamiami Trl
Unit D
North Port, FL 34287
Phone (941) 200-2570

450 S Tamiami Trl
Osprey, FL 34229
Phone (941) 460-3831

1076 S Tamiami Trl
Osprey, FL 34229
Phone (941) 346-9000

100 Madrid Blvd
Unit 212
Punta Gorda, FL 33950
Phone (941) 646-8510

5717 Derek Ave
Sarasota, FL 34233
Phone (941) 926-2909

1499 E Venice Ave
Unit A
Venice, FL 34292
Phone (941) 451-8657

Organizations & group practices 7

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": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1922468818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 N ACCESS RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342248655",
            "telephone_number": "941-460-3831",
            "fax_number": "941-218-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 E VENICE AVE UNIT A",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923207",
            "telephone_number": "941-451-8657",
            "fax_number": "941-218-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIVER",
        "first_name": "JUSTIN",
        "middle_name": "W.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-04",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 31147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENSE",
            "identifier": "PT31147",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.