Justin Mathew Kiesel, DPT
NPI 1548723810ActiveIndividual· Physical Therapist· Indianapolis, IN
Physical Therapist (DPT) in Indianapolis, Indiana, trained at Indiana Medical College, School of Medicine of Purdue University (class of 2019). Medicare paid $42,857 for services to 205 patients in 2024.
Overview
| NPI | 1548723810 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Apr 12, 2019 |
| Last updated in NPPES | May 4, 2021 |
| Certified by provider | May 4, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 05013406A | IN |
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 (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 205 |
|---|---|
| Services billed | 2,074 across 13 procedure codes |
| Paid by Medicare | $42,857 |
Education and affiliations
| Medical school | Indiana Medical College, School of Medicine of Purdue University |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Prorehab IncHaubstadt, IN · 83 clinicians
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