Active NPI
Justin Richard Master, DPT
- Physical Therapist
- Greenwood, IN
National Provider Identifier
1154850196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05012829A
- Practice address
- 1703 W Stones Crossing Rd Ste 120
Greenwood, IN 46143-8558 - Phone
- (317) 528-2018
- Fax
- (317) 528-2907
- NPI assigned
- Jun 5, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 05012829A | IN | |
| Physical Therapist | 225100000X | 05012829A | IN | Primary |
Addresses
Primary practice location
1703 W Stones Crossing Rd Ste 120
Greenwood, IN 46143-8558
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
720 Elm St Ste C
Wilmington, OH 45177-2878
Phone (937) 283-2186
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmaster534269@Direct.FranciscanAlliance.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1703 W Stones Crossing Rd
Suite 120
Greenwood, IN 46143-8558
Phone (317) 859-3737
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05012829A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Hospital & Health Care Center, Inc. | Past | Accepting new patients |
Interoperability endpoints
- jmaster534269@direct.franciscanalliance.org
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Community/Retail Pharmacy
- Indianapolis, IN
- NPI 1194929646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1154850196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 W STONES CROSSING RD STE 120",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461438558",
"telephone_number": "317-528-2018",
"fax_number": "317-528-2907"
}
],
"practiceLocations": [
{
"address_1": "720 Elm St Ste C",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "OH",
"postal_code": "451772878",
"country_code": "US",
"telephone_number": "937-283-2186",
"fax_number": "937-283-2187",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASTER",
"first_name": "JUSTIN",
"middle_name": "RICHARD",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-05",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IN",
"license": "05012829A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05012829A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmaster534269@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1703 W Stones Crossing Rd Ste 120",
"city": "Greenwood",
"state": "IN",
"country_code": "US",
"postal_code": "461438558",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.