Stephanie J Justine, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA009441 Issued in FL

Practice address

1230 S Old Dixie Hwy
Jupiter, FL 33458-7205

Phone

(561) 744-4444

NPI assigned

Mar 19, 2007

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023132743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5181 SE MEADOW SPRINGS BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976531",
            "telephone_number": "561-262-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S OLD DIXIE HWY",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587205",
            "telephone_number": "561-744-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTINE",
        "first_name": "STEPHANIE",
        "middle_name": "J",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA009441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jupiter Spine and Performance
• Jupiter Urgent Care, Inc
• Jupiter Vascular Center LLC
• Jupiter Wellness Center, LLC
• Jupiter West Medical Center Inc
• Patrick J Justiz, MD
• K a Dental Group Jupiter, PA
• K. Grant Mansell, D.O., P.a.
• Sharada Kacham, DMD
• Suresh B Kacham, M.D.

• Physical Therapy Assistant in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.