Individual provider Active NPI

Kaitlin McNamara Justice, DPT

  • Physical Therapist
  • Madison, AL
National Provider Identifier
1881083129
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH11243 Issued in AL
Practice address
12181 County Line Rd Ste 150
Madison, AL 35758-7740
Phone
(256) 713-1875
Fax
(256) 713-1873
NPI assigned
Jan 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X IL
Physical Therapist 225100000X TN
Physical Therapist 225100000X 13829 TN
Physical Therapist 225100000X PTH11243 AL Primary

Addresses

Primary practice location

12181 County Line Rd Ste 150
Madison, AL 35758-7740

Mailing address

1267 Enterprise Way NW Ste B
Huntsville, AL 35806-4472
Phone (256) 713-1875

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

State licenses

LicenseStateTypeSpecialty
PTH11243ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nesin Therapy Services, P.C. CurrentSince Aug 23, 2023 Accepting new patients

Locations

1267 Enterprise Way NW
Ste B
Huntsville, AL 35806
Phone (256) 489-3760

1267 Enterprise Way NW
#B
Huntsville, AL 35806
Phone (256) 713-1872

12181 County Line Rd
Ste 150
Madison, AL 35758
Phone (256) 461-9654

Organizations & group practices 1

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": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1881083129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 ENTERPRISE WAY NW STE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064472",
            "telephone_number": "256-713-1875",
            "fax_number": "256-713-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12181 COUNTY LINE RD STE 150",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357587740",
            "telephone_number": "256-713-1875",
            "fax_number": "256-713-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "KAITLIN",
        "middle_name": "MCNAMARA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-09",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13829",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.