JUSTIN DEGENHARDT (DPT) – Physical Therapist, NPI 1376192039
Physical Therapist
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,882 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA
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Provider Addresses for JUSTIN DEGENHARDT (DPT)
480, Adams Street, East Milton, Milton, Norfolk County, Massachusetts, 02170, United States
MILTON, MA 021864914
Phone: (617) 696-8141
Type: Mailing
259 Elm St
Somerville, MA 021442950
Phone: (617) 623-6300
Fax: (617) 623-4224
Type: Location
PO BOX 322
BOSTON, MA 021340003
Phone: (617) 623-6303
Fax: (617) 242-7074
Type: Mailing
259 ELM ST
SOMERVILLE, MA 021442950
Phone: (617) 623-6300
Fax: (617) 623-4224
Type: Location
790 REMINGTON BLVD
BOLINGBROOK, IL 604404909
Phone:
Type: Mailing
720 12TH ST SE
AUBURN, WA 980026708
Phone: (253) 735-3606
Fax: (253) 351-9807
Type: Location
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: 2026-01-30
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190911000628 | I | Physical Therapist In Private Practice | MA | TBD |
| I20230725003783 | I | Physical Therapist In Private Practice | WA | TBD |
| I20231113003545 | I | Physical Therapist In Private Practice | CA | TBD |
| I20241120002475 | I | Physical Therapist In Private Practice | TX | TBD |
| I20250603002118 | I | Physical Therapist In Private Practice | OR | TBD |
| I20260130000910 | I | Physical Therapist In Private Practice | CO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 564 | 43 | $0 |
| 97530 | Therapy procedure using functional activities | 187 | 28 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 149 | 24 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 81 | 14 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 33 | 32 | $0 |
Insurance plans in this area (ZIP 02186)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MA | |
| Qualified Speech Language Pathologist | CA | |
| - | CA | |
| - | IN | |
| Physical Therapist In Private Practice | AZ | |
| Physical Therapist In Private Practice | CA | |
| Occupational Therapist In Private Practice | CA | |
| - | CA | |
| Physical Therapist In Private Practice | CA | |
| - | MI |
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