Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN PROVO
ActiveJUSTIN PROVO is a Physical Therapy Assistant healthcare provider located in MELBOURNE, Florida. NPI 1588553259 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MELBOURNE, FL
Registration Details
- NPI Number
- 1588553259
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2025 (1.1356061033271 yrs)
- Last Updated
- Aug 7, 2025
- License
-
PT43362 (FL)
Practice Information
- Address
-
2200 W EAU GALLIE BLVD STE 105MELBOURNE, FL, 329353166Browse FL providers · Browse ZIP 32935
- Phone
- 2552552818
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MELBOURNE, FL
| Name | Credential | NPI |
|---|---|---|
| MR. ARTURO ALMONTE CASINGAL | PT | 1225020084 |
| MRS. JOCELYN CHAN CASINGAL | PT | 1104818962 |
| MS. LILIBETH C LIBUNAO | PT | 1710970470 |
| MR. KENNETH MICHAEL JAGDMANN | RPT | 1619959632 |
| MR. MATTHEW KARL THOMPSON | RPT | 1083696884 |
| NANCY FIGULSKI | PT | 1669442919 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.