Justin Hanus, PT, DPT, CSCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

40QA01880300 Issued in NJ

Practice address

107 Rowan Blvd
Glassboro, NJ 08028-2203

Phone

(856) 347-0333

Fax

(856) 230-7164

NPI assigned

Aug 26, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trifecta Therapeutics LLCGroup PAC ID 4789942483, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Trifecta Therapeutics, LLC

  • Sports Physical Therapist
  • Glassboro, NJ
  • NPI 1841701141
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1700433521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 CHESTNUT LN",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773409",
            "telephone_number": "856-261-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 ROWAN BLVD",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080282203",
            "telephone_number": "856-347-0333",
            "fax_number": "856-230-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANUS",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-26",
        "last_updated": "2021-03-15",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01880300",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NJ",
            "license": "40QA01880300",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01880300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen A Grugan, ATC
• Guardian Programs Adult Medical Day Care
• Kristian A Hairston
• Halim Optical, Ta Pearle Vision
• Arshia Hallajzadeh, PHARMD
• Amanda Harrison
• Jessica Haurin
• Korinne Elizabeth Havers
• Lisa Beth Haya, LCSW
• Hazeley Supportive Housing Services LLC

• Orthopedic Physical Therapist in Glassboro, NJ
• Providers in Glassboro, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.