JONATHAN BASTIAN (DPT) – Physical Therapist, NPI 1437704541

JONATHAN BASTIAN (DPT) is a healthcare provider. based in Orlando, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT34678 (FL). The NPI Number for JONATHAN BASTIAN (DPT) is 1437704541

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN BASTIAN (DPT)
NPI
1437704541
Phone
(407) 207-7188
Address
12780 WATERFORD LAKES PKWY STE 115
Enumeration Date
6 August 2019
Last Update Date
6 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4072077188
Graduation Year
2019 (7 years ago)
PAC ID
1153753025
Group Practice PAC ID
0840225785
Professional Enrollment ID
I20191114000850
Address ID
FL328284501OR12780PKWY402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for JONATHAN BASTIAN (DPT)

  • 12780 WATERFORD LAKES PKWY STE 115

    ORLANDO, FL 328284501

    Phone: (407) 207-7188

    Fax: (407) 207-7103

    Mailing address matches the actual address.

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: 2019-11-14

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
I20191114000850IPhysical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes88542$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes30026$0
97140Therapy procedure using manual technique, each 15 minutes19114$0
97161Evaluation for physical therapy, typically 20 minutes2221$0
97162Evaluation for physical therapy, typically 30 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 32828)

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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: 0840225785View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

How do I look up JONATHAN BASTIAN (DPT) by NPI?
Use NPI 1437704541 when you need to reference JONATHAN BASTIAN (DPT) in forms, claims, or directories.
Is JONATHAN BASTIAN (DPT) currently active in the NPI registry?
CMS-published data lists JONATHAN BASTIAN (DPT) as an active registrant.
Does JONATHAN BASTIAN (DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for JONATHAN BASTIAN (DPT). Clinical services aligned with this taxonomy classification.
Where is JONATHAN BASTIAN (DPT)'s primary listing?
We display Orlando, Florida because that is what the record indicates for JONATHAN BASTIAN (DPT).
Is JONATHAN BASTIAN (DPT) a real provider?
This page reflects official NPPES data for NPI 1437704541. Always confirm identity and privileges with the practice and licensing boards.

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