Active NPI
Justin Charles St.James, D.P.T
- Physical Therapist
- Phoenix, AZ
National Provider Identifier
1659608198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7847
- 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, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7847 | AZ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dennis R. St James Physical Therapy LTD | Orthopedic | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopedic Physical Therapist
- Phoenix, AZ
- NPI 1144593609
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.