Active NPI
Corbin Pominville
- Physical Therapist
- Jupiter, FL
National Provider Identifier
1962076281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 345 Jupiter Lakes Blvd Ste 300
Jupiter, FL 33458-7100 - Phone
- (561) 529-2213
- NPI assigned
- May 20, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
345 Jupiter Lakes Blvd Ste 300
Jupiter, FL 33458-7100
Mailing address
17573 Brickstone Loop
Fort Myers, FL 33967-5101
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)
3944 Florida Blvd
Suite 103
Palm Beach Gardens, FL 33410-2271
Phone (315) 523-5653
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Beach Vascular Institute LLC | Current | Accepting new patients | |
| Saylor Physical Therapy Jupiter LLC | Physical Therapist | Current | Accepting new patients |
| Better Life Physical Therapy & Wellness LLC | Physical Therapist | Current | Accepting new patients |
Locations
345 Jupiter Lakes Blvd
Ste 300
Jupiter, FL 33458
Phone (561) 529-2213
3944 Florida Blvd
Ste 103
Palm Beach Gardens, FL 33410
Phone (561) 567-8435
Organizations & group practices 3
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.
-
- Physical Therapist
- Palm Beach Gardens, FL
- NPI 1346017894
-
- Radiology Clinic/Center
- Palm Beach Gardens, FL
- NPI 1225994882
-
- Health Maintenance Organization
- Jupiter, FL
- NPI 1134515166
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1962076281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17573 BRICKSTONE LOOP",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339675101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 JUPITER LAKES BLVD STE 300",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587100",
"telephone_number": "561-529-2213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMINVILLE",
"first_name": "CORBIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-20",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.