JUSTIN DEREK HARBST (NPI# 1497009369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497009369 |
| Entity Type | Individual |
| Full Name | JUSTIN DEREK HARBST |
| Credential | ATC |
| Practice Address |
90 E Shore Rd Great Neck NY 11023-2409 |
| Mailing Address |
2557 14th St Apt 1 Astoria NY 11102-3720 |
| Practice Telephone | 5166841122 |
| Mailing Telephone | 6078218421 |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2012-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
002123 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
90 E SHORE RD |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11023-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831112796 | Robert Allen Mccabe | Physical Therapist | 90 E Shore Rd, Great Neck, NY 11023 | 2006-07-25 |
| 1871128272 | Vito Grippi | Physical Therapy Assistant | 90 E Shore Rd, Great Neck, NY 11023-2409 | 2020-03-05 |
| 1871144139 | Grace Eunbi Jeong | Physical Therapist | 90 E Shore Rd, Great Neck, NY 11023-2409 | 2019-09-26 |
| 1386137610 | Dara Johnson | Physical Therapist | 90 E Shore Rd, Great Neck, NY 11023-2409 | 2018-06-12 |
| 1982146197 | Michele Aquino | Physical Therapist | 90 E Shore Rd, Great Neck, NY 11023-2409 | 2016-11-07 |
| 1255881058 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 90 E Shore Rd, Great Neck, NY 11023-2409 | 2016-10-05 |
| 1679022446 | Robert Garrick | Physical Therapist | 90 E Shore Rd, Great Neck, NY 11023-2409 | 2016-09-22 |
| 1407301450 | Jamie Mott | Physical Therapist | 90 E Shore Rd, Great Neck, NY 11023-2409 | 2016-08-19 |
| 1699172650 | Robert William Berghorn Jr. | Physical Therapist | 90 E Shore Rd, Great Neck, NY 11023-2409 | 2014-11-19 |
| 1952656845 | Christopher M Mccutchan | Physical Therapist | 90 E Shore Rd, Great Neck, NY 11023-2409 | 2012-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801355581 | Jennifer Cain | Psychologist | 310 East Shore Rd. Suite 100, Great Neck, NY 11023 | 2019-03-13 |
| 1609346774 | Othniel Physical Therapy PC | Physical Therapist | 444 Middleneck Rd, Suite 1h, Greatneck, NY 11023 | 2018-11-30 |
| 1720403215 | Jason Li | Pharmacist | 125 Maple Street, Great Neck, NY 11023 | 2014-02-20 |
| 1356772156 | Eliian Ramezani | Physical Therapist | 444 Middle Neck Rd Apt 1h, Great Neck, NY 11023 | 2013-12-03 |
| 1710222625 | Jason Sonbolian | Registered Nurse | 22 Chadwick Road, Great Neck, NY 11023 | 2012-12-04 |
| 1659672020 | Marni Rebecca Weinberg | Speech-Language Pathologist | 15 Hutchinson Court, Great Neck, NY 11023 | 2010-11-16 |
| 1568780179 | Dara Bruckner | Physician Assistant | 17 Brokaw Lane, Great Neck, NY 11023 | 2010-05-06 |
| 1205070778 | Rachel Lee Klerer-axelrod | Physical Therapist | 76 Berkshire Road, Great Neck, NY 11023 | 2009-04-28 |
| 1336306455 | Lorrell Heather Zegarelli | Specialist/Technologist | 90 East Shore Road Inside Equinox, Professional Orthopedic and Sports Physical Therapy, Great Neck, NY 11023 | 2008-05-16 |
| 1841471158 | Heikyung Uh | Pharmacist | 152-154 Middle Neck Road, Great Neck, NY 11023 | 2007-11-15 |
| Find all providers in zip 11023 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730692534 | Emily Ruth Chadwick | Specialist/Technologist | 30 Terrace Cir Apt 1c, Great Neck, NY 11021-4187 | 2017-11-15 |
| 1134576945 | Rory A Grady Jr. | Specialist/Technologist | 1 Ash Pl Apt 1e, Great Neck, NY 11021-3272 | 2016-05-21 |
| 1336306455 | Lorrell Heather Zegarelli | Specialist/Technologist | 90 East Shore Road Inside Equinox, Professional Orthopedic and Sports Physical Therapy, Great Neck, NY 11023 | 2008-05-16 |
| 1467018531 | Erin Nicole Schroeder | Specialist/Technologist | 825 Northern Blvd Ste 201, Great Neck, NY 11021-5323 | 2019-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779309 | Jonathan Edwards | Specialist/Technologist | 39 Monty St, Plattsburgh, NY 12901-3702 | 2020-10-30 |
| 1245830207 | Skyler Lauren Cirillo | Specialist/Technologist | 1000 Hempstead Turnpike, Hempstead, NY 11549-0001 | 2020-10-29 |
| 1790384410 | Gina Siracusano | Specialist/Technologist | 630 Mastic Rd Ste 4, Mastic Beach, NY 11951-1020 | 2020-10-23 |
| 1134728504 | Corinne Edwards | Specialist/Technologist | 3606 Nutt Rd, Jamestown, NY 14701-9432 | 2020-10-18 |
| 1720687163 | Theresa A Trump | Specialist/Technologist | 7 Mapleline Rd, Ballston Lake, NY 12019-1589 | 2020-10-17 |
| 1235738667 | Erica Michalski | Specialist/Technologist | 157 Hillpine Rd, Cheektowaga, NY 14227-2261 | 2020-10-17 |
| 1396344743 | Jared Russom | Specialist/Technologist | 13 Brookview Ave., Delmar, NY 12054 | 2020-10-17 |
| 1720686231 | Leighann Buzzard | Specialist/Technologist | 277 Forbes Ave, Tonawanda, NY 14150-4705 | 2020-10-16 |
| 1861090367 | Jake Savino | Specialist/Technologist | 185 Oak Ave, Staten Island, NY 10306-4002 | 2020-10-15 |
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | GREAT NECK |
| Zip Code | 11023 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.