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

Mr. Juan Dominic Antolin

Individual provider Physical Therapist · NPI 1922550763

Mr. Juan Dominic Antolin is a Physical Therapist in Sunrise, Florida. Practices as a sole proprietor. Licensed in Colorado, Michigan and New Mexico.

Licensed in
CO, MI, NM
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

1580 Sawgrass Corporate Pkwy Ste 200
Sunrise, FL 33323-2859
Phone: (800) 886-1808
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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 4707 (NM)
Physical Therapist Taxonomy 225100000X · Licence 0013422 (CO)
Physical Therapist Taxonomy 225100000X · Licence 5501017461 (MI)

Record details

NPI number1922550763
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 27, 2016
Last updated in NPPESOctober 27, 2016

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