Michael Justman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12464-24 Issued in WI

Practice address

114 E Green Tree Rd
Clintonville, WI 54929-1182

Phone

(715) 823-3336

NPI assigned

Aug 2, 2013

Last updated

Aug 2, 2013By the provider in NPPES

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 WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic and Spine Therapy of Clintonville, SCGroup PAC ID 3072405505, 5 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orthopedic & Spine Therapy of Clintonville, SC

  • Physical Therapist
  • Clintonville, WI
  • NPI 1528172988
  Medicare reassignment Care Compare group NPD
• Orthopedic & Spine Therapy of Clintonville, SC

  • Physical Therapist
  • Shawano, WI
  • NPI 1821105354
  NPD

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1912339862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 N PROVIDENCE AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E GREEN TREE RD",
            "city": "CLINTONVILLE",
            "state": "WI",
            "postal_code": "549291182",
            "telephone_number": "715-823-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTMAN",
        "first_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12464-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra L Hoffman, OTR
• Jen's Arc Angels, LLC
• John B. Dewolf, III, D.M.D., S.C. (Clintonville Family Dentistry)
• Karen Agnete Johnson, DDS
• Journey to Self Counseling LLC
• Rosemary H Knapp, LPC
• Koeppen's Medical Transports
• Tara Korslin, PTA
• Chris Todd Krueger, D.C.
• Sarah Krueger, RN

• Physical Therapist in Clintonville, WI
• Providers in Clintonville, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.