TERRENCE JUSTINIANI MPT
NPI 1104967009
Physical Therapist in Wheeling, IL
About Terrence Justiniani Mpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERRENCE JUSTINIANI MPT (NPI 1104967009) is an individual physical therapist in Wheeling, Illinois and active in the NPI registry since February 2007. He is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Terrence Justiniani Mpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Terrence Justiniani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oak Brook, IL 60523
- Reassigned Medicare billing, Illinois enrollment
- 1,298 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60090 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Terrence Justiniani's NPI number?
The NPI number for Terrence Justiniani is 1104967009. It was assigned to this individual provider in the NPPES registry on February 12, 2007.
Where is Terrence Justiniani located?
Terrence Justiniani practices at 481 E Dundee Rd, Wheeling, IL 60090. The listed phone number is (847) 465-0355.
What is Terrence Justiniani's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Terrence Justiniani enrolled in Medicare?
Yes. Terrence Justiniani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Terrence Justiniani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Terrence Justiniani reassigns Medicare benefits to Athletico Ltd (Oak Brook, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Terrence Justiniani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Terrence Justiniani accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Terrence Justiniani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Terrence Justiniani was last updated on July 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Terrence Justiniani, MPT · NPI 1104967009
Physical Therapist provider in Wheeling, Illinois. Individual provider, active in the CMS NPPES registry since February 12, 2007.
## Identity
- **NPI:** 1104967009 (Entity type: Individual)
- **Enumerated:** February 12, 2007
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Sole proprietor:** No
## Practice location
- **Address:** 481 E DUNDEE RD, Wheeling, IL 60090
- **Phone:** (847) 465-0355 · **Fax:** (847) 465-8365
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Athletico Ltd (NPI 1821085028, Oak Brook, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** July 13, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1104967009) · Data from the CMS NPPES public registry.