Michael J Janusko, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT29695 Issued in FL

Practice address

100 Lindsey LN # a
Kingsland, GA 31548-6850

Phone

(912) 729-1333

Fax

(912) 729-5259

NPI assigned

Sep 30, 2014

Last updated

Sep 30, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Under the Barbell Physical Therapy & Performance LLC

  • Physical Therapy Clinic/Center
  • St Augustine, FL
  • NPI 1750971032
  NPD Authorized official
• Advance Rehabilitation and Consulting

  • Physical Therapist
  • Rome, GA
  • NPI 1174518682
  NPD (past)

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1396148748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 949",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301620949",
            "telephone_number": "706-236-2774",
            "fax_number": "706-236-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LINDSEY LN # A",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486850",
            "telephone_number": "912-729-1333",
            "fax_number": "912-729-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANUSKO",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT29695",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "PT2305208984",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyn Morgan Hrivnak, RN IBCLC LICENSED LC
• David Alan Humphries
• Robin Hunter, ED.S.,CCC-SLP
• Inner Resource Psychotherapy
• Ips of St Mary's LLC
• Jimmy Diaz MD PC
• Courtney Johnson
• Hannah Johnson
• Rashaun M Johnson
• Jason Edward Jones, DNP, APRN, FNP-BC

• Physical Therapist in Kingsland, GA
• Providers in Kingsland, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.