Matthew Seth Justus, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15282 Issued in FL

Practice address

120 International Pkwy Ste 124
Lake Mary, FL 32746-5052

Phone

(407) 829-2133

NPI assigned

Jan 4, 2025

Last updated

Jan 4, 2025By the provider in NPPES

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

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

• Heathrow Chiropractic Inc

  • Chiropractor
  • Lake Mary, FL
  • NPI 1083918023
  NPD

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

{
    "created_epoch": "1735948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735948800000",
    "number": "1467261420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 INTERNATIONAL PKWY STE 124",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465052",
            "telephone_number": "407-829-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 INTERNATIONAL PKWY STE 124",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465052",
            "telephone_number": "407-829-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTUS",
        "first_name": "MATTHEW",
        "middle_name": "SETH",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-04",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "15282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dacey Elizabeth Jules, PTA
• Lisa Julien, PT
• John Jump, CPO
• Sookeun Jung
• Jupiter Imaging Associates, Inc
• Juveria Tawwab MD LLC
• Amir Kaldas, MD
• Kalyani Gaddipati MD PL
• Mary J Kamasinski
• Harvey Kansol, D.D.S

• Chiropractor in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; 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.