Justin John Fesler, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT29628 Issued in CA

Practice address

26034 Acero
Mission Viejo, CA 92691-2768

Phone

(949) 837-9074

Fax

(949) 837-9078

NPI assigned

Oct 17, 2006

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orange County Physiotherapy Services P CGroup PAC ID 9335403963, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Orange County Physiotherapy Services, P.C.

  • Physical Therapist
  • Lake Forest, CA
  • NPI 1205339611
  Medicare reassignment Care Compare group NPD Authorized official
• Grace Physical Therapy, Inc.

  • Specialist
  • Laguna Niguel, CA
  • NPI 1386668739
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902987100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24431 CALLE DE LA LOUISA",
            "address_2": "200",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537641",
            "telephone_number": "949-837-9074",
            "fax_number": "949-837-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26034 ACERO",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912768",
            "telephone_number": "949-837-9074",
            "fax_number": "949-837-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESLER",
        "first_name": "JUSTIN",
        "middle_name": "JOHN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demetrio Dela Rosa Fernandez Jr., DMD
• Dylan Fernandez, DMD
• Jared Fernandez, ACSW, PPSC
• Rowena C. Fernandez, LCSW
• Joseph James Ferris, RPH
• Evan Day Fewsmith, PSY.D, LMFT
• Fielat Sandu Dental Practice
• Daniel Smart Fife, DDS
• Stefanie Jill Fightlin, DO
• Stacy Ann Fikert, M.D.

• Physical Therapist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Physical Therapist in California

• 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.
• 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.