Justine Dale Montero Cabanting, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

301847 Issued in CA

Practice address

1800 Sullivan Ave RM 402
Daly City, CA 94015-2224

Phone

(650) 651-4002

Fax

(650) 240-1834

NPI assigned

Apr 5, 2022

Last updated

Apr 5, 2022By the provider in NPPES

Sex

Male

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 CA, MI2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivyrehab Michigan LLCGroup PAC ID 6901165893, 156 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.02 of 100Reported as group

Quality

79

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

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.

• Ivyrehab Michigan, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Fenton, MI
  • NPI 1104337120

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Mariners Physical Therapy, Inc.

  • Physical Therapist
  • Santa Ana, CA
  • NPI 1164527305
  Medicare reassignment NPD
• Premier Physical Therapy Inc

  dba OC Sports & Rehab

  • Physical Therapist
  • Foothill Ranch, CA
  • NPI 1588985832
  Medicare reassignment NPD
• Scor Physical Therapy Inc

  dba San Clemente Orthopedic Rehab

  • Physical Therapy Clinic/Center
  • San Clemente, CA
  • NPI 1881795375

  Physical Therapist

  Medicare reassignment NPD
• Ivyrehab Northern PT, LLC

  • Physical Therapy Clinic/Center
  • Sparta, MI
  • NPI 1972592525
  NPD (past)

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1548901309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SULLIVAN AVE RM 402",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152224",
            "telephone_number": "650-651-4002",
            "fax_number": "650-240-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SULLIVAN AVE RM 402",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152224",
            "telephone_number": "650-651-4002",
            "fax_number": "650-240-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABANTING",
        "first_name": "JUSTINE DALE",
        "middle_name": "MONTERO",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingall W. Bull, LCSW
• Christian Edward Bundy
• Maegan Burnett
• Robert F Buscho, M.D
• Samantha Dawn Butterfield, MD
• Milagros Cabotage Cabrera, MD
• Serina Cabrera
• Fidel Manzano Cadag, NP - C
• Pedro Liwanag Cajator, MEDICAL DOCTOR
• Sean Ryan De Leon Calabia

• Physical Therapist in Daly City, CA
• Providers in Daly City, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.