Individual provider Active NPI

Anabelle Lu Justo, P.T.

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1720302607
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
029164 Issued in NY
Practice address
907 E Tremont Ave
Bronx, NY 10460-4301
Phone
(718) 589-9588
Fax
(718) 589-9589
NPI assigned
Mar 20, 2010
Last updated
Mar 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 029164 NY Primary

Addresses

Primary practice location

907 E Tremont Ave
Bronx, NY 10460-4301

Mailing address

6200 Beach Channel Dr
Arverne, NY 11692-1409
Phone (914) 328-8077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110819000370 NY Practitioner - Physical Therapist in Private Practice 6507036068 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20014 44TH Ave
Suite 2
Bayside, NY 11361-2510
Phone (848) 565-4819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
029164NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sure Medical PC CurrentSince Dec 18, 2023 Accepting new patients
Island Musculoskeletal Care MD PC Physical Therapist CurrentSince Sep 29, 2020 Accepting new patients
Priority One Therapy PT OT SLP PLLC CurrentSince Jul 1, 2020 Accepting new patients
Ny West Acupuncture and Physical Therapy PLLC Physical Therapist CurrentSince Sep 17, 2024 Accepting new patients
Island Musculoskeletal Care MD PC Physical Therapist CurrentSince Sep 29, 2020 Accepting new patients
Greater New York Physical Therapy and Chiropractic PLLC Physical Therapist PastSince Mar 1, 2012 Accepting new patients
Doctors United, Inc PastSince Oct 1, 1997 Accepting new patients
R.G. Medical, PC Past Accepting new patients
N.R. Medical, P.C Past Accepting new patients

Locations

20014 44th Ave
Ste 2
Bayside, NY 11361
Phone (718) 229-4688

9425 60th Ave
Ste B4
Elmhurst, NY 11373
Phone (718) 280-9092

1512 Broadway
Hewlett, NY 11557
Phone (516) 374-6838

10825 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 849-2321

99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 9

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": "1269043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1720302607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 BEACH CHANNEL DR",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921409",
            "telephone_number": "914-328-8077",
            "fax_number": "914-328-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604301",
            "telephone_number": "718-589-9588",
            "fax_number": "718-589-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTO",
        "first_name": "ANABELLE",
        "middle_name": "LU",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-20",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.