Individual provider Active NPI

Justin Shuleski, DPT

  • Physical Therapist
  • East Stroudsburg, PA
National Provider Identifier
1649636150
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT024982 Issued in PA
Practice address
230 Independence Rd
East Stroudsburg, PA 18301-9447
Phone
(570) 233-7225
NPI assigned
Jan 13, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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 TPT021767 PA
Physical Therapist 225100000X PT024982 PA Primary

Addresses

Primary practice location

230 Independence Rd
East Stroudsburg, PA 18301-9447

Mailing address

230 Independence Rd
East Stroudsburg, PA 18301-9447
Phone (570) 233-7225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160223000403 PA Practitioner - Physical Therapist in Private Practice 9335444793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1241 Blakeslee Blvd Dr E
Lehighton, PA 18235-2401
Phone (570) 386-9910

Merit-based Incentive Payment System (MIPS)

Final score
85.37 of 100Reported as group
Quality
72.6
Promoting interoperability
100
Improvement activities
40
Cost
78.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT024982PAMDPhysical Therapist
TPT021767PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates of Allentown Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Orthopaedic Associates of Allentown Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Keystone Rehabilitation Systems Inc Past Accepting new patients

Locations

250 Cetronia Rd
Ste 303
Allentown, PA 18104

4652 Broadway
Ste A
Allentown, PA 18104
Phone (570) 386-9910

1241 Blakeslee Boulevard Dr E
Lehighton, PA 18235
Phone (570) 386-6900

Organizations & group practices 3

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": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1649636150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 INDEPENDENCE RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019447",
            "telephone_number": "570-233-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 INDEPENDENCE RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019447",
            "telephone_number": "570-233-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULESKI",
        "first_name": "JUSTIN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "TPT021767",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.