Justin Boumstein, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-021570 Issued in IL

Practice address

1908 Dempster St Ste a
Evanston, IL 60202-1062

Phone

(224) 273-5773

NPI assigned

Aug 20, 2015

Last updated

Jan 4, 2022By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Athletic and Therapeutic Institute of Naperville LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Aurora, IL
  • NPI 1023129681
  NPD
• Presence Chicago Hospitals Network

  dba Presence St. Joseph Hospital-Chicago

  • Psychiatric Hospital Unit
  • Chicago, IL
  • NPI 1194404251
  NPD (past)
• Saint Francis Hospital - Evanston LLC

  dba Prime Healthcare Rx 1002

  • Community/Retail Pharmacy
  • Evanston, IL
  • NPI 1467494054
  NPD (past)

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1760858104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 W KINGSLEY DR",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041312",
            "telephone_number": "224-296-0090",
            "fax_number": "708-390-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 DEMPSTER ST STE A",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021062",
            "telephone_number": "224-273-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUMSTEIN",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-20",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-021570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Boskovich Tasic, MD
• Josephine Bostic, NP
• Jennifer Bosworth, LPC
• Nina Botto, M.D.
• Kevin Boubouleix, MD
• Brenna Bourke, LCSW
• Christina Boutsicaris, MD
• Julia Marie Bove, LMFT
• Adeniji Bowden, DDS
• Bowdental

• Physical Therapist in Evanston, IL
• Providers in Evanston, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.