Individual provider Active NPI

Justine Handwerger-Holk, PT

  • Physical Therapist
  • Costa Mesa, CA
National Provider Identifier
1497153241
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
42037 Issued in CA
Practice address
1182 Bristol St
Costa Mesa, CA 92626-8602
Phone
(714) 957-6889
Fax
(714) 546-8616
NPI assigned
Dec 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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 42037 CA Primary

Addresses

Primary practice location

1182 Bristol St
Costa Mesa, CA 92626-8602

Mailing address

1182 Bristol St
Costa Mesa, CA 92626-8602
Phone (714) 957-6889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
42037CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Paalani Chiropratic Inc. PastSince Dec 19, 2016 Accepting new patients
Samimi Orthopedic Group, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1497153241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 BRISTOL ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926268602",
            "telephone_number": "714-957-6889",
            "fax_number": "714-564-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 BRISTOL ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926268602",
            "telephone_number": "714-957-6889",
            "fax_number": "714-546-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDWERGER-HOLK",
        "first_name": "JUSTINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.