JUSTIN LASTER DPT
NPI 1720645831
Physical Therapist in Forest, MS

Active since May 23, 2019
1129 MS-35 #2, FOREST, MS 39074(601) 469-1001 Get Directions Write a Review

NPPES record last updated: May 23, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Justin Laster Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN LASTER DPT (NPI 1720645831) is an individual physical therapist in Forest, Mississippi and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1720645831
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJUSTIN LASTERCredential: DPT
Location Address1129 MS-35 #2Forest, MS 39074
Mailing Address1618 Highway 43 NPelahatchie, MS 39145-2873
Sole ProprietorNo
Enumeration DateMay 23, 2019
✔ NPI 1720645831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Laster Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Justin Laster reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
PERFORMANCE THERAPY, LLC, 921 W BEACON STREET
Philadelphia, MS 39350
  • Reassigned Medicare billing, Mississippi enrollment
  • 123 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Physical Therapy)
1129 MS-35 #2
FOREST, MS 39074

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 Justin Laster's NPI number?

The NPI number for Justin Laster is 1720645831. It was assigned to this individual provider in the NPPES registry on May 23, 2019.

Where is Justin Laster located?

Justin Laster practices at 1129 Ms-35 #2, Forest, MS 39074. The listed phone number is (601) 469-1001.

What is Justin Laster's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Justin Laster enrolled in Medicare?

Yes. Justin Laster is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Justin Laster's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Laster reassigns Medicare benefits to Performance Therapy LLC (Philadelphia, MS). 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 Justin Laster's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Justin Laster was last updated on May 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.