Individual provider Active NPI

Justyna Lukaszczyk, PT

  • Physical Therapist
  • Christiansted, VI
National Provider Identifier
1417079963
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7461 Issued in CO
Practice address
Sunny Isle Professional BLDG, Suite 6F
Christiansted, VI 00820
Phone
(340) 772-9557
Fax
(340) 772-9558
NPI assigned
Apr 4, 2007
Last updated
Apr 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7461 CO Primary

Addresses

Primary practice location

Sunny Isle Professional BLDG, Suite 6F
Christiansted, VI 00820

Mailing address

PO Box 5100
Christiansted, VI 00823-5100
Phone (340) 772-9557

Other identifiers 1

IdentifierTypeStateIssuer
7461OtherCOPHYSICAL THERAPIST

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130620000563 VI Practitioner - Physical Therapist in Private Practice 7719078039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Services of St CroixGroup PAC ID 6103712526, 2 clinicians

Practice addresses (Care Compare)

5007 Starboard St
Suite 6
Christiansted, VI 00820-4676
Phone (340) 201-4248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7461COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Services of St Croix Physical Therapist CurrentSince Jun 15, 2013 Accepting new patients

Locations

5007 Starboard St
Ste 6
Christiansted, VI 00820
Phone (340) 201-4248

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1417079963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5100",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008235100",
            "telephone_number": "340-772-9557",
            "fax_number": "340-772-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUNNY ISLE PROFESSIONAL BLDG, SUITE 6F",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "00820",
            "telephone_number": "340-772-9557",
            "fax_number": "340-772-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKASZCZYK",
        "first_name": "JUSTYNA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "7461",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansted, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.