Individual provider Active NPI

Justin Wu, DPT

  • Physical Therapist
  • Belmont, MA
National Provider Identifier
1275872095
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20432 Issued in MA
Practice address
431 Trapelo Rd Unit 2
Belmont, MA 02478-1417
Phone
(978) 500-3003
NPI assigned
Feb 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 20432 MA
Physical Therapist 225100000X 20432 MA Primary

Addresses

Primary practice location

431 Trapelo Rd Unit 2
Belmont, MA 02478-1417

Mailing address

107 College Rd
Concord, MA 01742-1526
Phone (978) 369-6265

Other practice location 1

107 College Rd
Concord, MA 01742-1526
Phone (978) 369-6265

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130403000215 MA Practitioner - Physical Therapist in Private Practice 3274778881 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

Practice addresses (Care Compare)

431 Trapelo Rd
Unit 2
Belmont, MA 02478-1417
Phone (617) 932-1027

50 Beharrell St
Concord, MA 01742-1749
Phone (617) 932-1027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20432MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Performance Physical Therapy and Sports Medicine, L.L.C. Physical Therapist Current Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275872095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 COLLEGE RD",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017421526",
            "telephone_number": "978-369-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 TRAPELO RD UNIT 2",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024781417",
            "telephone_number": "978-500-3003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 College Rd",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "MA",
            "postal_code": "017421526",
            "country_code": "US",
            "telephone_number": "978-369-6265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "JUSTIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "20432",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.