JUSTIN PROVO
NPI 1588553259
Physical Therapist in Melbourne, FL
NPI Status: Active since June 30, 2025
Contact Information
2200 W EAU GALLIE BLVD STE 105
MELBOURNE, FL
ZIP 32935
Phone: (255) 255-2818
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Individual
- Male
- Physical Therapist
About JUSTIN PROVO
This page provides the complete NPI Profile along with additional information for Justin Provo, a provider established in Melbourne, Florida with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1588553259 assigned on June 2025. The practitioner's primary taxonomy code is 225100000X with license number PT43362 (FL). The provider is registered as an individual and his NPI record was last updated August 2025.
- NPI
- 1588553259
- Provider Name
- JUSTIN PROVO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2200 W EAU GALLIE BLVD STE 105 MELBOURNE, FL 32935
- Location Phone
- (255) 255-2818
- Mailing Address
- 2200 W EAU GALLIE BLVD STE 105 MELBOURNE, FL 32935
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-30-2025
- Last Update Date
- 08-07-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- PT43362
- License State
- FL
- Taxonomy Description
- Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 5 | 8 | 8 | 5 | 5 | 3 | 2 | 5 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 16 | 8 | 10 | 5 | 6 | 2 | 10 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 1 + 6 + 8 + 1 + 0 + 5 + 6 + 2 + 1 + 0 + 24 = 61 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 61 = 9 | 9 |
The NPI number 1588553259 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1871018218 | TIERRA SIMONE HENDERSON PTA Individual | Physical Therapy Assistant | 2200 W EAU GALLIE BLVD STE 105 MELBOURNE, FL 32935 (321) 255-2818 |
1760084313 | STONE WILLIAM KELLER Individual | Physical Therapy Assistant | 2200 W EAU GALLIE BLVD STE 105 MELBOURNE, FL 32935 (321) 255-2818 |
1295410850 | JULIA DOMINIQUE SWAYNE OTR/L, MSOT Individual | Occupational Therapist | 2200 W EAU GALLIE BLVD STE 105 MELBOURNE, FL 32935 (321) 255-2818 |
1588437982 | JACOB KUTCHER Individual | Physical Therapist | 2200 W EAU GALLIE BLVD STE 105 MELBOURNE, FL 32935 (321) 255-2818 |
1881627073 | CORA HEALTH SERVICES INC Organization | Clinic/Center (Rehabilitation) | 2200 W EAU GALLIE BLVD STE 105 MELBOURNE, FL 32935 (321) 255-2818 |
1578742771 | MR. CHRISTOPHER M. BERTUCCINI MPT Individual | Physical Therapist | 2200 W EAU GALLIE BLVD STE 105 MELBOURNE, FL 32935 (321) 255-2828 |
1295524015 | MR. CHARLES NATHANIEL SHEPPARD PT Individual | Physical Therapist (Orthopedic) | 2200 W EAU GALLIE BLVD STE 105 MELBOURNE, FL 32935 (321) 255-2818 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588553259, enumerated in the NPI registry as an "individual" on June 30, 2025
The provider is located at 2200 W Eau Gallie Blvd Ste 105 Melbourne, Fl 32935 and the phone number is (255) 255-2818
The provider's speciality is Physical Therapist with taxonomy code 225100000X
This NPI record was last updated on June 30, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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