Mason Christian Justice, AS

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Practice address

28100 Torch Pkwy Ste 600
Warrenville, IL 60555-4030

Phone

(630) 413-5800

NPI assigned

Nov 7, 2021

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Science

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

{
    "created_epoch": "1636243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636243200000",
    "number": "1194480855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 SHORT ST",
            "city": "BRADFORD",
            "state": "OH",
            "postal_code": "453081159",
            "telephone_number": "937-670-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28100 TORCH PKWY STE 600",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605554030",
            "telephone_number": "630-413-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "MASON",
        "middle_name": "CHRISTIAN",
        "credential": "AS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-07",
        "last_updated": "2021-11-07",
        "certification_date": "2021-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Suzanne Johnson, PSY.D.
• Hannah C Jones-Lewis, LSW
• Alan Kent Jones
• Jaymie Elizabeth Jorgensen, OT
• Abigail Joyce
• Tiffany R Kadow, M.D.
• Michael Kahn, MD
• Cassidy Lynn Kaput, OTD, OTR/L
• Mary J Katsahnias, LCSW
• Bianca L Kavanaugh, FNP

• Rehabilitation Clinic/Center in Warrenville, IL
• Providers in Warrenville, IL by specialty
• Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.