Edyta Jagustin, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501006212 Issued in MI

Practice address

35735 Mound Rd
Sterling Heights, MI 48310-4728

Phone

(586) 439-6258

Fax

(586) 439-6240

NPI assigned

Sep 10, 2008

Sex

Female

Sole proprietor

No

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

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mendelson Orthopedics PCGroup PAC ID 8426008368, 69 clinicians

Practice addresses (Care Compare)

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.

• Mendelson Orthopedics PC

  • Orthopaedic Surgery Physician
  • Sterling Heights, MI
  • NPI 1720395205
  Medicare reassignment Care Compare group NPD
• Mendelson Orthopedics PC

  • Durable Medical Equipment & Medical Supplies
  • Sterling Heights, MI
  • NPI 1124336326
  NPD
• Mendelson Orthopedics PC

  • Interventional Pain Medicine Physician
  • Warren, MI
  • NPI 1700239415
  NPD
• Mendelson Orthopedics PC

  • Orthopaedic Surgery Physician
  • Livonia, MI
  • NPI 1720153463
  NPD

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1457500829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35735 MOUND RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104728",
            "telephone_number": "586-439-6258",
            "fax_number": "586-439-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35735 MOUND RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104728",
            "telephone_number": "586-439-6258",
            "fax_number": "586-439-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGUSTIN",
        "first_name": "EDYTA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherine Susan Jacob
• Eduardo Jacobs
• Judy Lynn Jacobs, PHD
• Samuel Cole Jacobson, OTRL
• Syed Abbas H. Jafri, M.D.
• Aditi Jaidka, MD
• Raquel Jairal, PTA
• Isatou Jallow
• Sevan Jalo
• James Robert Little MD PC

• Physical Therapist in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.