Todd M Justak, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006561 Issued in KY

Practice address

9300 Stonestreet Rd
Suite 400
Louisville, KY 40272-2863

Phone

(502) 935-9776

Fax

(502) 935-9813

NPI assigned

Jun 1, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468022400000",
    "number": "1033599550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 STONESTREET RD",
            "address_2": "SUITE 400",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402722863",
            "telephone_number": "502-935-9776",
            "fax_number": "502-935-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTAK",
        "first_name": "TODD",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-01",
        "last_updated": "2016-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007788A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew T Jung, M.D.
• Elaine Jury, PT, DPT
• Tyler W Jury, DMD
• Benjamin Briggs Just, PT
• Rachel Just, CCC-SLP
• Margie Justice-Pitoniak
• Amy Allyn Justice, PA-C
• Christina L Justice, BCBA
• Joshua David Justice, D.O.
• Kristen G Justice, LCSW

• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2016; 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.