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

Justin Andrew Mayorga, PT, DPT

Individual provider Physical Therapist · NPI 1205668712

Justin Andrew Mayorga, PT, DPT is a Physical Therapist in Private Practice in Tampa, Florida. Qualified in 2024, 2 years ago. Practices with Phenix Therapies, LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Colorado and Florida.

Years since qualifying
2
Licensed in
CO, FL
In the registry since
2024
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

13000 Bruce B Downs Blvd
Tampa, FL 33612-4745
Phone: (813) 972-2000
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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 PT42055 (FL)
Physical Therapist Taxonomy 225100000X · Licence PTL.0020692 (CO)

Record details

NPI number1205668712
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 14, 2024
Last updated in NPPESJune 25, 2025
Certification dateJune 25, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Phenix Therapies, Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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