Individual provider Active NPI

Denice R Justus, M.P.T.

  • Physical Therapist
  • Salina, KS
National Provider Identifier
1689657397
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-03109 Issued in KS
Practice address
1101 E Republic Ave
Salina, KS 67401-5282
Phone
(785) 825-1361
Fax
(785) 823-7077
NPI assigned
Nov 28, 2005
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

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
11-03109KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Salina Physical Therapy, LC Physical Therapist Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-03109 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

1101 E Republic Ave
Salina, KS 67401-5282

Mailing address

1101 E Republic Ave
Salina, KS 67401-5282
Phone (785) 825-1361

Other identifiers 5

NPPES NPI Registry
IdentifierTypeStateIssuer
7454OtherKSPREFERRED HEALTH SYSTEM
203159OtherKSHEALTH PARTNERS
P00236844OtherR. R. MEDICARE
465267OtherKSCHILDREN'S MERCY
100406880BMedicaidKS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 21, 2015.

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1689657397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E REPUBLIC AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015282",
            "telephone_number": "785-825-1361",
            "fax_number": "785-823-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E REPUBLIC AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015282",
            "telephone_number": "785-825-1361",
            "fax_number": "785-823-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTUS",
        "first_name": "DENICE",
        "middle_name": "R",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH SYSTEM",
            "identifier": "7454",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "203159",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R. R. MEDICARE",
            "identifier": "P00236844",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDREN'S MERCY",
            "identifier": "465267",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100406880B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.