MEDICARE: JUSTIN SANTAMARIA DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	12770	CT
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1821609397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN SANTAMARIA DPT

Provider Business Mailing Address
First Line	:	2001 BUTTERFIELD RD STE 1600
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-1211
Country	:	US
Telephone Number	:	866-370-8206
Fax Number	:

Provider Business Practice Location Address
First Line	:	4935 PT FSDICK DR NW STE 200&300
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-1851
Country	:	US
Telephone Number	:	253-258-3355
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2020
Last Update Date	:	02/14/2025

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Directions to “ JUSTIN SANTAMARIA DPT” Practice Location

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