Individual provider Active NPI

Kestutis Jusionis, PT

  • Physical Therapist
  • Huntington Beach, CA
National Provider Identifier
1801823331
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25126 Issued in CA
Practice address
21501 Brookhurst St Ste E
Huntington Beach, CA 92646-8080
Phone
(714) 963-7712
Fax
(714) 965-0682
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT25126 CA Primary

Addresses

Primary practice location

21501 Brookhurst St Ste E
Huntington Beach, CA 92646-8080

Mailing address

21501 Brookhurst St Ste E
Huntington Beach, CA 92646-8080
Phone (714) 963-7712

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

Practice roles

OrganizationSpecialtyStatusNew patients
RX Personal Training Inc. Physical Therapist Past Accepting new patients
Southside Physical Therapy and Sports Center Physical Therapist Past Accepting new patients
Southside Physical Therapy and Training Center Inc Physical Therapist Past Accepting new patients
Shoreline Physical Therapy, Inc. PastSince Aug 31, 2007 Accepting new patients

Organizations & group practices 4

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801823331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21501 BROOKHURST ST STE E",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926468080",
            "telephone_number": "714-963-7712",
            "fax_number": "714-965-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21501 BROOKHURST ST STE E",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926468080",
            "telephone_number": "714-963-7712",
            "fax_number": "714-965-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSIONIS",
        "first_name": "KESTUTIS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.