JUSTIN MATTHEW FETSKO (DPT) – Physical Therapist, NPI 1174843130

JUSTIN MATTHEW FETSKO (DPT) is a healthcare provider. based in Dothan, Alabama. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PTH5315 (AL). The NPI Number for JUSTIN MATTHEW FETSKO (DPT) is 1174843130

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN MATTHEW FETSKO (DPT)
NPI
1174843130
Phone
(334) 699-5747
Address
348 HEALTHWEST DR
Enumeration Date
1 June 2010
Last Update Date
1 June 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3346732422
Graduation Year
2008 (18 years ago)
PAC ID
6002949260
Group Practice PAC ID
5799731972
Professional Enrollment ID
I20100809000800
Address ID
AL363033049DO3118XCIRX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,476 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AL

Provider Addresses for JUSTIN MATTHEW FETSKO (DPT)

  • 348 HEALTHWEST DR

    DOTHAN, AL 363031907

    Phone: (334) 699-5747

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100809000800IPhysical Therapist In Private PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2,98199$0
97140Therapy procedure using manual technique, each 15 minutes98367$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care12624$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes10120$0
97161Evaluation for physical therapy, typically 20 minutes9385$0
View full utilization report →

Insurance plans in this area (ZIP 36303)

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Provider's Procedures

JUSTIN MATTHEW FETSKO (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYAL97001Physical therapy evaluation146134
PHYSICAL THERAPYAL97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes3377144

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799731972View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

What federal number belongs to JUSTIN MATTHEW FETSKO (DPT)?
The federal identifier for JUSTIN MATTHEW FETSKO (DPT) is NPI 1174843130.
Does this profile mean JUSTIN MATTHEW FETSKO (DPT) is currently active?
Yes — JUSTIN MATTHEW FETSKO (DPT) appears active in the national provider directory.
What kind of provider is JUSTIN MATTHEW FETSKO (DPT)?
The page reflects Physical Therapist for JUSTIN MATTHEW FETSKO (DPT). Clinical services aligned with this taxonomy classification.
Where does public data place JUSTIN MATTHEW FETSKO (DPT)?
The snapshot lists Dothan, Alabama for JUSTIN MATTHEW FETSKO (DPT); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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