Individual provider Active NPI

Justin Santamaria, DPT

  • Physical Therapist
  • Gig Harbor, WA
National Provider Identifier
1821609397
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4935 PT Fsdick Dr NW Ste 200&300
Gig Harbor, WA 98335-1851
Phone
(253) 258-3355
NPI assigned
Aug 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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 12770 CT
Physical Therapist 225100000X Primary

Addresses

Primary practice location

4935 PT Fsdick Dr NW Ste 200&300
Gig Harbor, WA 98335-1851

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

5 Pequot Park Rd Ste 102
Westbrook, CT 06498-2856
Phone (860) 399-6411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230315003227 AK Practitioner - Physical Therapist in Private Practice 2668898677 Reassigns benefits to 1 organization
I20250422000550 WA Practitioner - Physical Therapist in Private Practice 2668898677 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12770CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Apr 14, 2025 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Apr 14, 2025 Accepting new patients
Alaska Physical Therapy Specialists, LLC Physical Therapist CurrentSince Apr 24, 2023 Accepting new patients
Sacred Heart University, Inc Physical Therapist PastSince Aug 16, 2020 Accepting new patients

Locations

3650 Lake Otis Pkwy
Ste 201
Anchorage, AK 99508
Phone (907) 561-1430

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

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

4935 Point Fosdick Dr
Ste 200300
Gig Harbor, WA 98335
Phone (253) 258-3355

4935 Point Fosdick Dr
#F200
Gig Harbor, WA 98335

4935 Point Fosdick Dr
Ste F200
Gig Harbor, WA 98335
Phone (253) 258-3355

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

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": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1821609397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4935 PT FSDICK DR NW STE 200&300",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351851",
            "telephone_number": "253-258-3355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Pequot Park Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Westbrook",
            "state": "CT",
            "postal_code": "064982856",
            "country_code": "US",
            "telephone_number": "860-399-6411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTAMARIA",
        "first_name": "JUSTIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-10",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12770",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.