Individual provider Active NPI

Justin Marshall Pezick, PT, DPT, ATC, CSCS

  • Physical Therapist
  • Bedford, MA
National Provider Identifier
1144656166
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20748 Issued in MA
Practice address
54 Middlesex Tpke Ste 101L
Bedford, MA 01730
Phone
(781) 229-8011
Fax
(781) 229-8374
NPI assigned
Sep 23, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 20748 MA
Physical Therapist 225100000X 20748 MA Primary

Addresses

Primary practice location

54 Middlesex Tpke Ste 101L
Bedford, MA 01730

Mailing address

54 Middlesex Tpke Ste 101L
Bedford, MA 01730-1417
Phone (781) 229-8011

Other practice location 1

101 Cambridge St Ste 230
Burlington, MA 01803-3767
Phone (781) 229-8011

Other practice location 2

101 Cambridge St Ste 230
Burlington, MA 01803-3767
Phone (781) 229-8011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131125001011 MA Practitioner - Physical Therapist in Private Practice 4486880382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burlington Physical Therapy, PC Dba Orthopaedics PlusGroup PAC ID 6406749787, 17 clinicians

Practice addresses (Care Compare)

54 Middlesex Tpke
Suite 101L
Bedford, MA 01730-1417
Phone (781) 229-8011

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
95.5
Improvement activities
40
Cost
75.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Burlington Physical Therapy, PC, Dba Orthopaedics Plus Physical Therapist CurrentSince Oct 20, 2014 Accepting new patients
Burlington Physical Therapy, PC Dba Orthopaedics Plus Physical Therapist CurrentSince Oct 20, 2014 Accepting new patients
Elite Health and Fitness Physical Therapy PastSince Sep 23, 2013 Accepting new patients

Locations

54 Middlesex Tpke
Ste 101L
Bedford, MA 01730
Phone (781) 229-8011

100 Cummings Ctr
Ste 121Q
Beverly, MA 01915
Phone (978) 927-0907

101 Cambridge St
Burlington, MA 01803
Phone (781) 229-8011

101 Cambridge St
Ste 230
Burlington, MA 01803
Phone (603) 472-2846

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": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1144656166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MIDDLESEX TPKE STE 101L",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301417",
            "telephone_number": "781-229-8011",
            "fax_number": "781-229-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MIDDLESEX TPKE STE 101L",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "01730",
            "telephone_number": "781-229-8011",
            "fax_number": "781-229-8374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Cambridge St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018033767",
            "country_code": "US",
            "telephone_number": "781-229-8011",
            "fax_number": "781-229-8374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Cambridge St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018033767",
            "country_code": "US",
            "telephone_number": "781-229-8011",
            "fax_number": "781-229-8374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEZICK",
        "first_name": "JUSTIN",
        "middle_name": "MARSHALL",
        "name_prefix": "Mr.",
        "credential": "PT, DPT, ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-23",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "20748",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.