Active NPI
Justin James Lemoine, DPT
- Physical Therapist
- Moreno Valley, CA
National Provider Identifier
1609475904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 299197
- Practice address
- 26341 Thoroughbred LN
Moreno Valley, CA 92555-2924 - Phone
- (209) 549-6959
- NPI assigned
- Oct 19, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 299197 | CA | Primary |
Addresses
Primary practice location
26341 Thoroughbred LN
Moreno Valley, CA 92555-2924
Mailing address
26341 Thoroughbred LN
Moreno Valley, CA 92555-2924
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bakersfield Sports Medicine and Rehabilitative Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Bakersfield, CA
- NPI 1598872376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1609475904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26341 THOROUGHBRED LN",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925552924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26341 THOROUGHBRED LN",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925552924",
"telephone_number": "209-549-6959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMOINE",
"first_name": "JUSTIN",
"middle_name": "JAMES",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-19",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "299197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.