Justin M Vincent

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT019613 Issued in OH

Practice address

431 Ohio Pike
Cincinnati, OH 45255-3375

Phone

(513) 528-3100

NPI assigned

Feb 21, 2022

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 OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

JK Wellness Centers IncGroup PAC ID 4688067697, 2 clinicians

Practice addresses (Care Compare)

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.

• JK Wellness Centers Inc

  • Physical Therapist
  • Loveland, OH
  • NPI 1235899295
  Medicare reassignment Care Compare group NPD
• Center for Physical Therapy

  • Physical Therapy Clinic/Center
  • Batavia, OH
  • NPI 1396931168
  NPD (past)

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1801541693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 OHIO PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 OHIO PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553375",
            "telephone_number": "513-528-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "JUSTIN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Oscar Villasanti
• Victoria A Villavicencio, RN, CRNA
• Julie Rettig Villemez, MA CCC-SLP
• Samantha Lee Villenauve
• Gay Vincent
• Lori Vincent, PH.D.
• Maggie Vincent, RD
• Joan K Vinciguerra, R.N B.S.N
• Willi Patrice Vinegar I
• Elizabeth K Vinel

• Physical Therapist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.