Justin Datorre, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

40QA01869700 Issued in NJ

Practice address

1873 Route 70 E Ste 1-J
Cherry Hill, NJ 08003-2034

Phone

(856) 428-4030

Fax

(856) 428-1093

NPI assigned

Jul 29, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1861046864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "888-830-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1873 ROUTE 70 E STE 1-J",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032034",
            "telephone_number": "856-428-4030",
            "fax_number": "856-428-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATORRE",
        "first_name": "JUSTIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-29",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01869700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Darcy, BCBA
• Jiggar Darji
• Ryan Drew Dashel, P.T., D.P.T.
• Rochelle Beth Dashevsky, MS CCC/SLP
• Shakema Terrell Dashiell, MS, MA, LAPC
• Sarah Dattilo, BCBA
• Sonore Daudin
• Ma Ronella Muchada Daulo, RPT
• Jennifer Kristen Davenport, MS, LCADC, CCS
• Richard Davenport

• Orthopedic Physical Therapist in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.