Juan Daniel Maldonado Jr., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT33776 Issued in FL

Practice address

4430 Missouri Avenue
Box #1267
Fort Leonard Wood, MO 65473

Phone

(573) 596-0417

Fax

(321) 802-5811

NPI assigned

Aug 2, 2018

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)

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 and National Provider Directory roles.

• United States Army

  • Military Hospital
  • Fort Leonard Wood, MO
  • NPI 1902263098
  NPD (past)

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1992283766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 MISSOURI AVENUE",
            "address_2": "BOX #1267",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "65473",
            "telephone_number": "573-596-1707",
            "fax_number": "321-802-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 MISSOURI AVENUE",
            "address_2": "BOX #1267",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "65473",
            "telephone_number": "573-596-0417",
            "fax_number": "321-802-5811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5445 Murrell Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Viera",
            "state": "FL",
            "postal_code": "329556679",
            "country_code": "US",
            "telephone_number": "321-802-5814",
            "fax_number": "321-802-5811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6300 N Wickham Rd Ste 116",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329402023",
            "country_code": "US",
            "telephone_number": "321-802-5814",
            "fax_number": "321-802-5811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2030 S Patrick Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Indian Harbour Beach",
            "state": "FL",
            "postal_code": "329374400",
            "country_code": "US",
            "telephone_number": "321-802-5814",
            "fax_number": "321-802-5811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "JUAN",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-02",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mimms J Mabee, D.O., M.P.H.
• Kristin Macmurray
• Justin Madden, PHARMD
• Melinda Jean Magee, EFDA
• Alec Michael Maglione
• Emily Fae Malecky, LCSW
• John Malovrh, DO
• Sandra Sue Marsey, RN
• Jorge Aori Martell
• Rickey Rodger Martin, PA

• Physical Therapist in Fort Leonard Wood, MO
• Providers in Fort Leonard Wood, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.