Justin Redziniak, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01925100 Issued in NJ

Practice address

4609 Nottingham Way
Trenton, NJ 08690-3819

Phone

(609) 436-9089

NPI assigned

Jul 30, 2020

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Next Level Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Hamilton, NJ
  • NPI 1396278388

  Single Specialty

  NPD

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1285243790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BEVERLY CT",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086911332",
            "telephone_number": "609-436-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 NOTTINGHAM WAY",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086903819",
            "telephone_number": "609-436-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDZINIAK",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01925100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chenna Reddy, MD
• Sudershan P Reddy, MD
• Reddys Inc
• Anna Marie Redington, NP
• Jeffrey D Rednor, D.O.
• Regional Radiation Oncology PA
• Farya Rehman, MD
• James Reis, LCSW
• Renal Center of Trenton, LLC
• Myriam Thezard Rene, BSW

• Physical Therapist in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.