Individual provider Active NPI

Justine Marie Tramontana

  • Physical Therapist
  • Boone, NC
National Provider Identifier
1053085670
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
135 Jack Branch Drive
Boone, NC 28608-5057
Phone
(828) 266-0030
Fax
(828) 398-4539
NPI assigned
Aug 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

135 Jack Branch Drive
Boone, NC 28608-5057

Mailing address

135 Jack Branch Drive
Boone, NC 28608-5057
Phone (828) 286-0030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, ID3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230915003422 NC Practitioner - Physical Therapist in Private Practice 3476958000 Reassigns benefits to 2 organizations
I20250701000684 SC Practitioner - Physical Therapist in Private Practice 3476958000 Reassigns benefits to 1 organization
I20250828001881 ID Practitioner - Physical Therapist in Private Practice 3476958000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Texas Medical Branch at Galveston, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1311 E Central Dr
Meridian, ID 83642-7991

3699 W Patel Dr
Meridian, ID 83646-9018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho State University CurrentSince Aug 18, 2025 Accepting new patients
Idaho State University CurrentSince Aug 18, 2025 Accepting new patients
Breakthrough Physical Therapy Inc Physical Therapist CurrentSince Jul 20, 2023 Accepting new patients
Idaho State University Current Accepting new patients
Breakthrough SC LLC Physical Therapist CurrentSince Mar 30, 2025 Accepting new patients
Breakthrough Physical Therapy Physical Therapist Past Accepting new patients
Your Life Wellness and Physical Therapy PastSince Oct 26, 2012 Accepting new patients

Locations

1311 E Central Dr
Meridian, ID 83642
Phone (208) 373-1734

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

981 High House Rd
#100
Cary, NC 27513
Phone (919) 388-0111

303 N 35th St
Morehead City, NC 28557
Phone (252) 247-2738

2514 Cuthbertson Rd
Ste D
Waxhaw, NC 28173
Phone (704) 810-4302

5554 Main St
Fort Lawn, SC 29714
Phone (803) 548-5662

Organizations & group practices 7

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": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1053085670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 JACK BRANCH DRIVE",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286085057",
            "telephone_number": "828-286-0030",
            "fax_number": "828-398-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 JACK BRANCH DRIVE",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286085057",
            "telephone_number": "828-266-0030",
            "fax_number": "828-398-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAMONTANA",
        "first_name": "JUSTINE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.