Individual provider Active NPI

Rebecca Annabelle Justen, P.T.

  • Physical Therapist
  • Strongsville, OH
National Provider Identifier
1740458090
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-12062 Issued in OH
Practice address
16761 Southpark Ctr
Strongsville, OH 44136-9302
Phone
(440) 878-3323
Fax
(440) 878-3020
NPI assigned
Feb 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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 PT-12062 OH Primary

Addresses

Primary practice location

16761 Southpark Ctr
Strongsville, OH 44136-9302

Mailing address

16761 Southpark Ctr
Strongsville, OH 44136-9302

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
PT-12062OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Rehabilitation- a Physical Therapy and Sports Medicine Ctr PastSince Nov 12, 2007 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1740458090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16761 SOUTHPARK CTR",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441369302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16761 SOUTHPARK CTR",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441369302",
            "telephone_number": "440-878-3323",
            "fax_number": "440-878-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTEN",
        "first_name": "REBECCA",
        "middle_name": "ANNABELLE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-12062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.