Individual provider Active NPI

Justin Carmel, D.P.T.

  • Orthopedic Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1972985075
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
30402 Issued in FL
Practice address
12961 N Main St
Suite 201 & 202
Jacksonville, FL 32218-2769
Phone
(904) 757-2474
Fax
(904) 757-5541
NPI assigned
Jun 24, 2015
Last updated
Jun 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 30402 FL Primary
Orthopedic Physical Therapist 2251X0800X 230520373 VA

Addresses

Primary practice location

12961 N Main St
Suite 201 & 202
Jacksonville, FL 32218-2769

Mailing address

13 Alcira CT
St Augustine, FL 32086-7620
Phone (513) 253-1969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Improvement activities
40
Cost
74.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
230520373VAMDOrthopedic Physical Therapist
30402FLMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Orthopaedic Institute Inc Past Accepting new patients
Jacksonville Orthopaedic Institute Inc PastSince Jul 1, 2015 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1972985075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 ALCIRA CT",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320867620",
            "telephone_number": "513-253-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12961 N MAIN ST",
            "address_2": "SUITE 201 & 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322182769",
            "telephone_number": "904-757-2474",
            "fax_number": "904-757-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMEL",
        "first_name": "JUSTIN",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "30402",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "230520373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.