IndividualActive
Johnny Bustamante
NPI 1891114880 · Physical Therapy Assistant · Doral, FL
Provider details
- NPI number
- 1891114880
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- PTA23842 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs 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
3900 Nw 79th Ave Ste 500
Doral, FL 33166-6549
Phone: (305) 591-4181
Street-level locationGet directions
Mailing address
13700 Sw 149th Circle Ln Apt 1
Miami, FL 33186-8257
Registry dates
- Enumerated
- 2014-04-07
- Last updated
- 2014-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.