JUSTIN ANDREW MAYORGA (PT, DPT) – Physical Therapist, NPI 1205668712

JUSTIN ANDREW MAYORGA (PT, DPT) is a healthcare provider. based in Pinellas park, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PTL.0020692 (CO). The NPI Number for JUSTIN ANDREW MAYORGA (PT, DPT) is 1205668712

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN ANDREW MAYORGA (PT, DPT)
NPI
1205668712
Phone
(727) 458-4840
Address
7122 70TH ST N
Enumeration Date
14 August 2024
Last Update Date
25 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7193449497
Graduation Year
2024 (2 years ago)
PAC ID
4486152659
Group Practice PAC ID
0345556502
Professional Enrollment ID
I20250807004041
Address ID
CO809075798CO1625XPTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:1State licenses:2Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for JUSTIN ANDREW MAYORGA (PT, DPT)

  • 7122 70TH ST N

    PINELLAS PARK, FL 337813936

    Phone: (727) 458-4840

    Type: Mailing

  • 13000 BRUCE B DOWNS BLVD

    TAMPA, FL 336124745

    Phone: (813) 972-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250807004041IPhysical Therapist In Private PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33781)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345556502View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
-CO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO

Reviews

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Frequently asked questions

What identifier follows JUSTIN ANDREW MAYORGA (PT, DPT) across health systems?
The NPI 1205668712 uniquely identifies JUSTIN ANDREW MAYORGA (PT, DPT) in U.S. healthcare data.
Is JUSTIN ANDREW MAYORGA (PT, DPT)'s NPI status active today?
Active status means JUSTIN ANDREW MAYORGA (PT, DPT)'s NPI record is not deactivated in the public file.
What does the directory say JUSTIN ANDREW MAYORGA (PT, DPT) does?
Insurance directories may phrase it differently, but here JUSTIN ANDREW MAYORGA (PT, DPT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to JUSTIN ANDREW MAYORGA (PT, DPT)?
The directory associates JUSTIN ANDREW MAYORGA (PT, DPT) with Pinellas Park, Florida. Check all listed addresses for suites or satellite offices.
Can I export JUSTIN ANDREW MAYORGA (PT, DPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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