Individual provider Active NPI

Justin Charles St.James, D.P.T

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1659608198
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7847 Issued in AZ
Practice address
539 E Glendale Ave
Ste 105
Phoenix, AZ 85020-4900
Phone
(602) 241-3145
Fax
(602) 241-3146
NPI assigned
Nov 4, 2009
Last updated
Mar 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7847 AZ Primary
Sports Physical Therapist 2251S0007X NU
Orthopedic Physical Therapist 2251X0800X NU

Addresses

Primary practice location

539 E Glendale Ave
Ste 105
Phoenix, AZ 85020-4900

Mailing address

320 W Gleneagles Dr
Phoenix, AZ 85023-5245
Phone (602) 751-7812

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

State licenses

LicenseStateTypeSpecialty
7847AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis R. St James Physical Therapy LTD Orthopedic PastSince Feb 21, 2012 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, 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": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1659608198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W GLENEAGLES DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850235245",
            "telephone_number": "602-751-7812",
            "fax_number": "602-266-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 E GLENDALE AVE",
            "address_2": "STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204900",
            "telephone_number": "602-241-3145",
            "fax_number": "602-241-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST.JAMES",
        "first_name": "JUSTIN",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-04",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7847",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.