Individual provider Active NPI

Justin C Lemmo, DPT

  • Pediatric Physical Therapist
  • Edinburg, TX
National Provider Identifier
1063785269
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
1215276 Issued in TX
Practice address
4908 Juno Dr
Edinburg, TX 78539-0056
Phone
(330) 770-7596
NPI assigned
Feb 17, 2012
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1215276 TX
Pediatric Physical Therapist 2251P0200X 1215276 TX Primary

Addresses

Primary practice location

4908 Juno Dr
Edinburg, TX 78539-0056

Mailing address

4908 Juno Dr
Edinburg, TX 78539-0056
Phone (330) 770-7596

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1215276TXMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Associates LLC Physical Therapist Past Accepting new patients
River Health Care LLC Past Accepting new patients
Buckeye Physical Therapy, PLLC Physical Therapist Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1063785269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4908 JUNO DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785390056",
            "telephone_number": "330-770-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4908 JUNO DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785390056",
            "telephone_number": "330-770-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMMO",
        "first_name": "JUSTIN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-17",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1215276",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1215276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.