Individual provider Active NPI

Justin Bruce McAlaster, OT

  • Occupational Therapist
  • Memphis, TN
National Provider Identifier
1013288141
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3789 Issued in TN
Practice address
4515 Poplar Ave Ste 210
Memphis, TN 38117-7506
Phone
(901) 728-6912
Fax
(901) 701-2428
NPI assigned
Jan 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT1279 MS
Occupational Therapist 225X00000X 3789 TN Primary

Addresses

Primary practice location

4515 Poplar Ave Ste 210
Memphis, TN 38117-7506

Mailing address

4515 Poplar Ave Ste 210
Memphis, TN 38117-7506
Phone (901) 728-6912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT1279MSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Group PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1013288141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 POPLAR AVE STE 210",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381177506",
            "telephone_number": "901-728-6912",
            "fax_number": "901-701-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 POPLAR AVE STE 210",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381177506",
            "telephone_number": "901-728-6912",
            "fax_number": "901-701-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALASTER",
        "first_name": "JUSTIN",
        "middle_name": "BRUCE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-20",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT1279",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "3789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.