Active NPI
Justin Ito, DPT, PT
- Physical Therapist
- San Jose, CA
National Provider Identifier
1306264981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 41203
- Practice address
- 1530 Meridian Ave Ste 150
San Jose, CA 95125-5352 - Phone
- (408) 606-7951
- Fax
- (408) 248-4923
- NPI assigned
- Apr 1, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 41203 | CA | Primary |
Addresses
Primary practice location
1530 Meridian Ave Ste 150
San Jose, CA 95125-5352
Mailing address
2145 The Alameda
San Jose, CA 95126-1141
Phone (408) 248-6886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
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)
1530 Meridian Ave
Suite 150
San Jose, CA 95125-5352
Phone (408) 606-7951
Merit-based Incentive Payment System (MIPS)
- Final score
- 68.04 of 100
- Quality
- 55.97
- Improvement activities
- 40
- Cost
- 74.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 41203 | CA | MD | Physical Therapist |
Organizations & group practices 1
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.
-
- Physical Therapist
- San Jose, CA
- NPI 1740374529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1306264981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2145 THE ALAMEDA",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951261141",
"telephone_number": "408-248-6886",
"fax_number": "408-248-4923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 MERIDIAN AVE STE 150",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951255352",
"telephone_number": "408-606-7951",
"fax_number": "408-248-4923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ITO",
"first_name": "JUSTIN",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-01",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 41203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.