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

Map and Direction




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 Llc155738843636

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

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

Reviews and Comments


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Ptmax Physical Therapy And Wellness
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Practice Location: 1051 W Sherman Ave Ste 1b, Vineland, NJ 08360
Phone: 215-278-2229    
Justin Baglivo,
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Medicare: Accepting Medicare Assignments
Practice Location: 298 S Delsea Dr, Vineland, NJ 08360
Phone: 856-690-1616    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.