Individual provider Active NPI

Israel Chaim Juskowicz, DPT

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1780818757
Registry record updated Oct 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24463 Issued in MD
Practice address
6615 Reisterstown Rd Ste 300
Baltimore, MD 21215-2689
Phone
(443) 627-8921
Fax
(410) 258-9975
NPI assigned
May 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24463 MD Primary
Pediatric Physical Therapist 2251P0200X 027803-1 NY

Addresses

Primary practice location

6615 Reisterstown Rd Ste 300
Baltimore, MD 21215-2689

Mailing address

10784 Brewer House Rd
Rockville, MD 20852-3452
Phone (917) 742-3209

Other practice location 1

1232 Race Rd Ste 203
Baltimore, MD 21237-2376
Phone (410) 918-0080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140903000030 DC Practitioner - Physical Therapist in Private Practice 8224256383 Reassigns benefits to 3 organizations
I20140903000037 MD Practitioner - Physical Therapist in Private Practice 8224256383 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24463MDMDPhysical Therapist
027803-1NYMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Nov 22, 2021 Accepting new patients
Lemoine & Associates Physical Therapy, Inc Physical Therapist CurrentSince Oct 24, 2021 Accepting new patients
Silver Spring Medical Center LLC CurrentSince Jun 1, 2018 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Nov 22, 2021 Accepting new patients
Absolute Rehabilitative Therapy, Inc Physical Therapist CurrentSince Feb 22, 2016 Accepting new patients
Absolute Physical Therapy, LLC Physical Therapist CurrentSince Feb 22, 2016 Accepting new patients
Lemoine & Associates Physical Therapy, Inc Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients
Lemoine & Associates Physical Therapy LLC Physical Therapist PastSince Aug 1, 2021 Accepting new patients
Fall Prevention and Stroke Rehab Physician, LLC PastSince Sep 1, 2024 Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

6615 Reisterstown Rd
Ste 300
Baltimore, MD 21215
Phone (443) 627-8921

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

7501 Greenway Center Dr
Ste 800
Greenbelt, MD 20770
Phone (301) 220-2316

9841 Greenbelt Rd
Ste 103
Lanham, MD 20706
Phone (301) 220-2316

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

1232 Race Rd
Ste 203
Rosedale, MD 21237
Phone (410) 780-1980

1409 S Salisbury Blvd
Unit Cd
Salisbury, MD 21801
Phone (667) 330-1061

3200 Crain Hwy
Ste 103
Waldorf, MD 20603
Phone (240) 419-5101

11301 Amherst Ave
Ste 102
Wheaton, MD 20902
Phone (301) 933-7827

Organizations & group practices 10

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": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633132800000",
    "number": "1780818757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10784 BREWER HOUSE RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523452",
            "telephone_number": "917-742-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 REISTERSTOWN RD STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152689",
            "telephone_number": "443-627-8921",
            "fax_number": "410-258-9975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1232 Race Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212372376",
            "country_code": "US",
            "telephone_number": "410-918-0080",
            "fax_number": "410-918-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUSKOWICZ",
        "first_name": "ISRAEL",
        "middle_name": "CHAIM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-06",
        "last_updated": "2021-10-02",
        "certification_date": "2021-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24463",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "027803-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2021; 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.