Provider Demographics
NPI:1700433521
Name:HANUS, JUSTIN (PT, DPT, CSCS)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:
Last Name:HANUS
Suffix:
Gender:M
Credentials:PT, DPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 CHESTNUT LN
Mailing Address - Street 2:
Mailing Address - City:CINNAMINSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08077-3409
Mailing Address - Country:US
Mailing Address - Phone:856-261-7014
Mailing Address - Fax:
Practice Address - Street 1:107 ROWAN BLVD
Practice Address - Street 2:
Practice Address - City:GLASSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08028-2203
Practice Address - Country:US
Practice Address - Phone:856-347-0333
Practice Address - Fax:856-230-7164
Is Sole Proprietor?:No
Enumeration Date:2019-08-26
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01880300225100000X, 2251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports