Justin Brady Lalonde, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

294191 Issued in CA

Practice address

508 Webster St
Petaluma, CA 94952-2456

Phone

(480) 202-3669

Fax

(619) 415-8154

NPI assigned

Dec 19, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Pacific Standard Physical Therapy, Incorporated

  • Physical Therapy Clinic/Center
  • Petaluma, CA
  • NPI 1164159380

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Innovative Physical Therapy Inc

  • Orthopedic Physical Therapist
  • San Diego, CA
  • NPI 1821047580
  Medicare reassignment NPD

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751068800000",
    "number": "1629584263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 WEBSTER ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522456",
            "telephone_number": "480-202-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 WEBSTER ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522456",
            "telephone_number": "480-202-3669",
            "fax_number": "619-415-8154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5030 Camino De La Siesta Ste 220",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921083118",
            "country_code": "US",
            "telephone_number": "619-260-0750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940253653",
            "country_code": "US",
            "telephone_number": "866-839-6979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5540 Brunswick Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92120",
            "country_code": "US",
            "telephone_number": "480-202-3669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4341 Piedmont Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946114792",
            "country_code": "US",
            "telephone_number": "510-547-1630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LALONDE",
        "first_name": "JUSTIN",
        "middle_name": "BRADY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-19",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "294191",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Tayag Lacap, BCBA
• Anita Lafollette, MFT
• Lisa Marie Laidlaw, FNP
• Lakay Instead Home Care LLC
• Adamane S Lalith Mohan, M.D.
• Amanda Lam, MD
• Kiely Lam
• Liana Yungay Lam, O.D.
• Mary Lynne Lamb, RD
• Kathie Tunstall Lanatti

• Physical Therapist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; 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.