Active NPI
Justin Carmel, D.P.T.
- Orthopedic Physical Therapist
- Jacksonville, FL
National Provider Identifier
1972985075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 30402
- 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, 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 |
|---|---|---|---|---|
| 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.01 of 100
- Improvement activities
- 40
- Cost
- 74.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230520373 | VA | MD | Orthopedic Physical Therapist |
| 30402 | FL | MD | In Home Supportive Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacksonville Orthopaedic Institute Inc | Past | Accepting new patients | |
| Jacksonville Orthopaedic Institute Inc | Past | 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.
-
- Physical Therapist
- Jacksonville, FL
- NPI 1154581379
-
- Physical Therapist
- Jacksonville Beach, FL
- NPI 1902954332
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.