Justin Price, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018874 Issued in MI

Practice address

115 E Main St
Niles, MI 49120-2224

Phone

(269) 362-5242

Fax

(269) 934-5054

NPI assigned

Sep 4, 2018

Last updated

Jul 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sport Track Physical Therapy and Human PerformanceGroup PAC ID 3678959699, 3 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sport Track Physical Therapy and Human Performance

  • Physical Therapy Clinic/Center
  • Niles, MI
  • NPI 1295462836
  Medicare reassignment Care Compare group NPD Authorized official
• RX Physical Therapy PLC

  • Physical Therapy Clinic/Center
  • Benton Harbor, MI
  • NPI 1851821813

  Physical Therapist

  Medicare reassignment NPD
• Sportrak Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Benton Harbor, MI
  • NPI 1992398283
  Authorized official Same address or phone

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1679055917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202224",
            "telephone_number": "269-362-5242",
            "fax_number": "269-934-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202224",
            "telephone_number": "269-362-5242",
            "fax_number": "269-934-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-04",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Periza Zaninovic DDS PC
• Heather Peterson, LLMSW
• Amy Viola Petrie, PAC
• Samantha Plank, DMD
• Destiny Yvonne Posey
• Lily Price, LLMSW
• Pure Motion Chiropractic PLLC
• Quality Life Home Care Services LLC
• Sandra Quintero, LLMSW
• Yerling Quispe, MSW

• Physical Therapist in Niles, MI
• Providers in Niles, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.