Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Bastian, DPT

Individual provider Physical Therapist · NPI 1437704541

Jonathan Bastian, DPT is a Physical Therapist in Private Practice in Orlando, Florida. Qualified in 2019, 7 years ago. Practices with Orlando Sports Medicine Group Inc, a 12-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

12780 Waterford Lakes Pkwy Ste 115
Orlando, FL 32828-4501
Phone: (407) 207-7188
Fax: (407) 207-7103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT34678 (FL)

Record details

NPI number1437704541
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 6, 2019
Last updated in NPPESAugust 6, 2019
Mailing address12780 Waterford Lakes Pkwy Ste 115, Orlando, FL 32828-4501

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Orlando Sports Medicine Group Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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