Justin Provo
NPI 1588553259 · Physical Therapist · Melbourne, FL
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Provo is a Physical Therapist provider in Melbourne, FL (NPI 1588553259).
Provider details
- NPI number
- 1588553259
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PT43362 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-06-30
- Last updated
- 2025-08-07
- Certified
- 2025-08-07
Frequently asked questions
- What is Justin Provo's NPI number?
- Justin Provo's National Provider Identifier (NPI) is 1588553259, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Provo's specialty?
- Justin Provo is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Justin Provo located?
- Justin Provo's practice location on file with NPPES is 2200 W Eau Gallie Blvd Ste 105, Melbourne, FL 32935-3166.
- What is Justin Provo's phone number?
- The practice phone number listed in the NPPES registry for Justin Provo is (255) 255-2818.
- Does Justin Provo accept Medicare?
- Justin Provo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Provo's NPI active?
- Yes — Justin Provo's NPI (1588553259) is active in the NPPES registry as of the last update on 2025-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.