Justin Newcomer, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

293704 Issued in CA

Practice address

2020 4TH St
San Rafael, CA 94901-2649

Phone

(415) 726-7696

NPI assigned

Sep 14, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1013436682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 4TH ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012649",
            "telephone_number": "415-726-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 4TH ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012649",
            "telephone_number": "415-726-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWCOMER",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "293704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilynn Lois Neuenburg, OTR
• Charles Nevarez, SUDRC #21019
• Gloria Perez Nevarez, SUDCC 17223
• Caitlin Nevin, MSW
• Taylor Renee Newcomb
• Jodie Newdelman, PSYD
• Wendy Anne Newgren, P.T.A.
• Nicole M Newhauser, PA
• Stacia Newport
• Susan Ngau

• Orthopedic Physical Therapist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.