JUSTIN MICHAEL BOMMARITO – Physical Therapist, NPI 1295271955

JUSTIN MICHAEL BOMMARITO is a healthcare provider. based in Palm beach gardens, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for JUSTIN MICHAEL BOMMARITO is 1295271955

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN MICHAEL BOMMARITO
NPI
1295271955
Phone
(561) 694-7776
Address
4215 BURNS RD STE 100
Enumeration Date
18 January 2017
Last Update Date
5 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5616947776
Graduation Year
2021 (5 years ago)
PAC ID
4385003433
Group Practice PAC ID
0547153389
Professional Enrollment ID
I20230707000338
Address ID
FL334587830JU2055XTRLX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:9State licenses:0Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for JUSTIN MICHAEL BOMMARITO

  • 4215 BURNS RD STE 100

    PALM BEACH GARDENS, FL 334104627

    Phone: (561) 694-7776

    Fax: (561) 694-3099

    Type: Location

  • 4215 BURNS RD STE 200

    PALM BEACH GARDENS, FL 334104625

    Phone: (561) 694-7776

    Fax: (561) 694-3099

    Type: Mailing

  • 97, Mosely Avenue, Seaside, Staten Island, New York, 10312, United States

    STATEN ISLAND, NY 103124115

    Phone: (917) 703-4935

    Type: Mailing

  • 227 E BAY CEDAR CIR

    JUPITER, FL 334587108

    Phone: (917) 703-4935

    Type: Mailing

  • 2055 MILITARY TRL

    JUPITER, FL 334587801

    Phone: (616) 945-7776

    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: 2023-07-07

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
I20230707000338IPhysical Therapist In Private PracticeFLTBD

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 33410)

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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: 0547153389View full group profile
NameSpecialtyState
-FL
Orthopedic Surgery, Hand SurgeryMI
Physical Therapist In Private PracticeAL
Orthopedic SurgeryFL
Orthopedic SurgeryOH
Physical Therapist In Private PracticeFL
Hand SurgeryFL
P O D I A T R YFL
Physician AssistantFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

How do payers reference JUSTIN MICHAEL BOMMARITO?
For JUSTIN MICHAEL BOMMARITO, use NPI 1295271955 as the unique 10-digit identifier.
Is JUSTIN MICHAEL BOMMARITO still an active registrant?
JUSTIN MICHAEL BOMMARITO carries an active NPI according to the public dataset.
What expertise is attributed to JUSTIN MICHAEL BOMMARITO?
JUSTIN MICHAEL BOMMARITO's specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is JUSTIN MICHAEL BOMMARITO located near Palm Beach Gardens?
JUSTIN MICHAEL BOMMARITO currently maps to Palm Beach Gardens, Florida in this extract.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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