Justine Johnson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012915 Issued in IL

Practice address

360 Summit Dr
Lockport, IL 60441-3244

Phone

(815) 838-9441

Fax

(815) 838-3401

NPI assigned

Jan 4, 2016

Sex

Female

Sole proprietor

No

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

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freedom Family Chiropractic PCGroup PAC ID 2769928407, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Freedom Family Chiropractic PC

  • Chiropractor
  • Manhattan, IL
  • NPI 1134960131
  Medicare reassignment Care Compare group NPD Authorized official
• Prism Physical Therapy & Performance Training PLLC

  • Physical Therapy Clinic/Center
  • Manhattan, IL
  • NPI 1639914476
  NPD (past)

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1104282342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SUMMIT DR",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604413244",
            "telephone_number": "815-838-9441",
            "fax_number": "815-838-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SUMMIT DR",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604413244",
            "telephone_number": "815-838-9441",
            "fax_number": "815-838-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JUSTINE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fran Jackson
• Stacy Jager, MT-BC
• Kevin Jakowitsch, DC
• Kelly Jenson, PT
• Chijioke Jimonu
• Lauren Johnson, OT
• Jennifer Jones, BCBA
• Nikkiba Tamele Jones, DNP
• Ryan Jones
• Journey Counseling Services

• Chiropractor in Lockport, IL
• Providers in Lockport, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.