Justin Laster, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1129 Ms-35 #2
Forest, MS 39074

Phone

(601) 469-1001

NPI assigned

May 23, 2019

Last updated

May 23, 2019By 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 MS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Performance Therapy LLC

  • Physical Therapist
  • Philadelphia, MS
  • NPI 1851427132
  Medicare reassignment NPD
• Enduracare Acute Care Services LLC

  • Physical Therapy Clinic/Center
  • King, NC
  • NPI 1205340411

  Physical Therapist

  NPD (past)
• Enduracare Acute Care Services LLC

  • Rehabilitation Clinic/Center
  • Franklin, TN
  • NPI 1568975506

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1720645831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 HIGHWAY 43 N",
            "city": "PELAHATCHIE",
            "state": "MS",
            "postal_code": "391452873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 MS-35 #2",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "39074",
            "telephone_number": "601-469-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASTER",
        "first_name": "JUSTIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Rene Jones
• Anna Kelly
• Anne Walker Kimes, PMHNP
• Phalanecia Fondriea Kincaid, A2R7M5X9
• Laboratory Corporation of America Holdings
• John Paul Lee, M.D.
• William Mark Lewis, M.D.
• LLH Labs
• Trenton D Lott, PHARM.D.
• Majestic Estates LLC.

• Physical Therapist in Forest, MS
• Providers in Forest, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.