Healthcare Provider Details

I. General information

NPI: 1639995947
Provider Name (Legal Business Name): JUSTIN ESPARTERO DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2024
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10503 W THUNDERBIRD BLVD STE 200
SUN CITY AZ
85351-2746
US

IV. Provider business mailing address

12827 ANTHORNE LN
BOYNTON BEACH FL
33436-2204
US

V. Phone/Fax

Practice location:
  • Phone: 623-888-3370
  • Fax:
Mailing address:
  • Phone: 410-660-5727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT42252
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberLPT-034835
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT.PT.70072080
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: