Individual provider Active NPI

Justin R Cheesman, DPT

  • Physical Therapist
  • Delran, NJ
National Provider Identifier
1508935784
Registry record updated May 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7816 Issued in SC
Practice address
3001 Bridgeboro Rd
Delran, NJ 08075-9700
Phone
(856) 368-2551
Fax
(856) 210-7110
NPI assigned
Nov 6, 2006
Last updated
May 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01394400 NJ
Physical Therapist 225100000X 7816 SC Primary

Addresses

Primary practice location

3001 Bridgeboro Rd
Delran, NJ 08075-9700

Mailing address

38 Sheridan Park Cir
Suite C
Bluffton, SC 29910-7022
Phone (843) 815-5628

Other practice location 1

4812 Bluffton Pkwy
Bluffton, SC 29910
Phone (843) 681-2368

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150817002767 SC Practitioner - Physical Therapist in Private Practice 0547362576 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
57.41
Promoting interoperability
100
Improvement activities
40
Cost
80.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7816SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Aug 2, 2015 Accepting new patients
Benchmark Health Services, LLC Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
Beaufort Orthopaedic Sports and Spine Center LLC CurrentSince Apr 26, 2021 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist Current Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist Current Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Aug 2, 2015 Accepting new patients
Beaufort Orthopaedic Sports and Spine Center LLC CurrentSince Apr 26, 2021 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1076 Ribaut Rd
Ste 101
Beaufort, SC 29902
Phone (843) 525-0045

1017 Fording Island Rd
#F101
Bluffton, SC 29910
Phone (843) 815-2563

38 Sheridan Park Cir
Ste C
Bluffton, SC 29910
Phone (843) 815-5628

4812 Bluffton Pkwy
Bluffton, SC 29910
Phone (843) 837-4300

135 Blythewood Rd
#J
Blythewood, SC 29016
Phone (803) 851-1037

1670 Springdale Dr
Ste 10
Camden, SC 29020
Phone (803) 272-0518

1340 Knox Abbott Dr
Cayce, SC 29033
Phone (803) 851-1686

4711 Forest Dr
Ste 19
Columbia, SC 29206
Phone (803) 888-7760

161 Pontiac Business Center Dr
Ste 1188
Elgin, SC 29045
Phone (803) 708-1536

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

39 Hospital Center Cmns
Hilton Head Island, SC 29926
Phone (843) 681-2363

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

2440 Augusta Hwy
Ste A
Lexington, SC 29072
Phone (803) 769-3301

5443 Platt Springs Rd
Ste D
Lexington, SC 29073
Phone (803) 774-1333

Organizations & group practices 9

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621036800000",
    "number": "1508935784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 SHERIDAN PARK CIR",
            "address_2": "SUITE C",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299107022",
            "telephone_number": "843-815-5628",
            "fax_number": "843-815-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 BRIDGEBORO RD",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080759700",
            "telephone_number": "856-368-2551",
            "fax_number": "856-210-7110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4812 Bluffton Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "29910",
            "country_code": "US",
            "telephone_number": "843-681-2368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEESMAN",
        "first_name": "JUSTIN",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2021-05-15",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01394400",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delran, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2021; 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.