Justin Minor, MPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT021461 Issued in PA

Practice address

182 Butler St
Wilkes Barre, PA 18702-4465

Phone

(570) 970-0402

Fax

(570) 970-0403

NPI assigned

Dec 8, 2017

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

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.

• Elite Spine and Sports Physical Therapy LP

  • Physical Therapist
  • Wilkes Barre, PA
  • NPI 1932810819
  NPD

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1346755618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 BUTLER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187024465",
            "telephone_number": "570-970-0402",
            "fax_number": "570-970-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 BUTLER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187024465",
            "telephone_number": "570-970-0402",
            "fax_number": "570-970-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "JUSTIN",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-08",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "PT021461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas I. Miller, PA-C
• Timothy Wayne Miller
• Keith Michael Milligan, CRNA
• Janet D. Milner, R.D.
• Grace Milone
• Kathleen Ann Minora, LCSW
• Madison M Miraglia, CRNP
• Thais Prata Miranda
• Lucinda Stephanie Mirra, DO
• Wasique Mirza, MD

• Physical Medicine & Rehabilitation Physician in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.