Individual provider Active NPI

Justin R Lemieux

  • Physical Therapist
  • Somersworth, NH
National Provider Identifier
1134595903
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4016 Issued in NH
Practice address
255 Route 108
Ste 2
Somersworth, NH 03878-1543
Phone
(603) 841-5441
Fax
(603) 841-5630
NPI assigned
Aug 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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 4016 NH Primary
Physical Therapist 225100000X 21902 MA

Addresses

Primary practice location

255 Route 108
Ste 2
Somersworth, NH 03878-1543

Mailing address

73 Newton Rd
Ste 101
Plaistow, NH 03865-2424
Phone (978) 388-7272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150922002940 NH Practitioner - Physical Therapist in Private Practice 3971810060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bodywise Physical Therapy LLCGroup PAC ID 1456453794, 10 clinicians

Practice addresses (Care Compare)

285 Calef Hwy
Unit 11
Epping, NH 03042-2367
Phone (603) 679-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21902MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bodywise Physical Therapy LLC Physical Therapist CurrentSince May 1, 2018 Accepting new patients
Pinnacle Rehabilitation Network LLC Physical Therapist Past Accepting new patients
NH Pain Technologies LLC Past Accepting new patients

Locations

285 Calef Hwy
Unit 11
Epping, NH 03042
Phone (603) 679-8100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1134595903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 NEWTON RD",
            "address_2": "STE 101",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652424",
            "telephone_number": "978-388-7272",
            "fax_number": "978-388-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 ROUTE 108",
            "address_2": "STE 2",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781543",
            "telephone_number": "603-841-5441",
            "fax_number": "603-841-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMIEUX",
        "first_name": "JUSTIN",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "4016",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "21902",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somersworth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.