Active NPI
Justin C Lemmo, DPT
- Pediatric Physical Therapist
- Edinburg, TX
National Provider Identifier
1063785269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1215276
- Practice address
- 4908 Juno Dr
Edinburg, TX 78539-0056 - Phone
- (330) 770-7596
- NPI assigned
- Feb 17, 2012
- Last updated
- Aug 30, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1215276 | TX | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Treehouse Rehabilitation Center
- Rehabilitation Clinic/Center
- Mercedes, TX
- NPI 1790845915
-
dba Therapy Network
- Rehabilitation Clinic/Center
- McAllen, TX
- NPI 1538266085
Physical Therapist
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.