Justin J. Shelley, DPT
NPI 1053643205ActiveIndividual· Physical Therapist· Kirkland, WA
Physical Therapist (DPT) with Peak Sports and Spine Physical Therapy Lake City Ps, practicing in Kirkland, Washington. Medicare paid $43,801 for services to 54 patients in 2024.
Overview
| NPI | 1053643205 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Feb 12, 2010 |
| Last updated in NPPES | Oct 24, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 36478 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 54 |
|---|---|
| Services billed | 1,957 across 9 procedure codes |
| Paid by Medicare | $43,801 |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Peak Sports and Spine Physical Therapy Lake City PsSeattle, WA · 6 clinicians
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All 178 physical therapists in Kirkland · All physical therapists in Washington