Justin D Ditheodore, PT - Medicare Physical Therapist in Vineland, NJ

Justin D Ditheodore, PT is a medicare enrolled "Physical Therapist" provider in Vineland, New Jersey. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Premier Orthopaedic And Sports Medicine Assoc Of Southern Nj Llc and his current practice location is 298 S Delsea Dr, Vineland, New Jersey. You can reach out to his office (for appointments etc.) via phone at (856) 690-1616.

Justin D Ditheodore is licensed to practice in New Jersey (license number 40QA01339000) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073836656.

Contact Information

Justin D Ditheodore, PT
298 S Delsea Dr,
Vineland, NJ 08360-4568
(856) 690-1616
(856) 690-1089



Healthcare Provider's Profile

Full NameJustin D Ditheodore
GenderMale
SpecialityPhysical Therapy
Experience15 Years
Location298 S Delsea Dr, Vineland, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Justin D Ditheodore graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1073836656
  • Provider Enumeration Date: 03/10/2010
  • Last Update Date: 04/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3072640408
  • Enrollment ID: I20100416000245

Medical Identifiers

Medical identifiers for Justin D Ditheodore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073836656NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 40QA01339000 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Orthopaedic And Sports Medicine Assoc Of Southern Nj Llc155738843637

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Justin D Ditheodore allows following entities to bill medicare on his behalf.
Provider NameAdvanced Orthopaedic Centers, Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1275574667
PECOS PAC ID: 1153309059
Enrollment ID: O20040708000501

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Provider NamePremier Orthopaedic And Sports Medicine Assoc Of Southern Nj Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1396812574
PECOS PAC ID: 1557388436
Enrollment ID: O20051031000150

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Provider NameReconstructive Orthopedics, Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1659319002
PECOS PAC ID: 4183726144
Enrollment ID: O20070221000397

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Justin D Ditheodore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Justin D Ditheodore, PT
352 S Delsea Dr Ste C,
Vineland, NJ 08360-5306

Ph: (856) 690-1616
Justin D Ditheodore, PT
298 S Delsea Dr,
Vineland, NJ 08360-4568

Ph: (856) 690-1616

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Physical Therapist in Vineland, NJ

Acts Rehabilitation Services, Inc
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 611 E Landis Ave, Vineland, NJ 08360
Phone: 856-794-2100    Fax: 856-794-2120
Matthew Lucas,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 80 S Main Rd, Vineland, NJ 08360
Phone: 856-500-3800    
Jennifer Pace, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1940 S West Blvd Bldg A, Vineland, NJ 08360
Phone: 856-690-9977    Fax: 856-507-9918
Dr. Terry M. Andrus, P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 258 N Main Rd Unit B, Vineland, NJ 08360
Phone: 856-362-5230    Fax: 856-362-5844
Oliver Yost, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1940 S West Blvd, Bldg A, Vineland, NJ 08360
Phone: 856-690-9977    Fax: 856-507-9918
Ptmax Physical Therapy And Wellness
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1051 W Sherman Ave Ste 1b, Vineland, NJ 08360
Phone: 215-278-2229    
Justin Baglivo,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 298 S Delsea Dr, Vineland, NJ 08360
Phone: 856-690-1616    

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