Justin Rada, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018594 Issued in MI

Practice address

1025 Webster St
Birmingham, MI 48009-6932

Phone

(313) 580-7525

NPI assigned

Feb 20, 2018

Last updated

Oct 6, 2020By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• JGPT LLC

  • Physical Therapy Clinic/Center
  • Birmingham, MI
  • NPI 1972216968
  NPD Authorized official
• Jfit, LLC

  • Physical Therapy Clinic/Center
  • Birmingham, MI
  • NPI 1134816648
  Authorized official Same address or phone

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1922508662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 WEBSTER ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096932",
            "telephone_number": "313-580-7525",
            "fax_number": "248-487-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 WEBSTER ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096932",
            "telephone_number": "313-580-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADA",
        "first_name": "JUSTIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-20",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Birmingham",
            "affiliation": "N",
            "address_1": "1025 Webster St",
            "city": "Birmingham",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480096932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Suzanne Camille Proctor, CAMILLE PROCTOR
• Providence
• Haley Nicole Prue
• Psychiatry Associates, PC
• Quick Trips Logistics
• Kimberly A Radakovic, RN
• Asya Raines, MA LLP
• Nancy Marie Recchia, DDS
• Refine Physical Therapy LLC
• Ann M Rehm, MD

• Physical Therapist in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.