DR. JUSTIN BLAKE STREEFKERK (PT, DPT) – Physical Therapist, NPI 1194082073

DR. JUSTIN BLAKE STREEFKERK (PT, DPT) is a healthcare provider. based in Saint clair shores, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 5501015244 (MI). The NPI Number for DR. JUSTIN BLAKE STREEFKERK (PT, DPT) is 1194082073

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUSTIN BLAKE STREEFKERK (PT, DPT)
NPI
1194082073
Phone
(586) 531-5825
Address
22500 FURTON ST
Enumeration Date
18 April 2012
Last Update Date
9 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7348721066
Graduation Year
2010 (16 years ago)
PAC ID
5496981938
Group Practice PAC ID
8325451164
Professional Enrollment ID
I20131112000094
Address ID
MI481666100NE3132XRDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for DR. JUSTIN BLAKE STREEFKERK (PT, DPT)

  • 22500 FURTON ST

    SAINT CLAIR SHORES, MI 480821871

    Phone: (586) 531-5825

    Type: Location

  • 14700 KING RD

    STE B

    RIVERVIEW, MI 481937909

    Phone: (586) 531-5825

    Type: Mailing

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: 2013-11-12

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
I20131112000094IPhysical Therapist In Private PracticeMITBD

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 minutes90075$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes55066$0
97140Therapy procedure using manual technique, each 15 minutes47253$0
97116Therapy procedure for walking training, each 15 minutes14726$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care12726$0
View full utilization report →

Insurance plans in this area (ZIP 48082)

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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: 8325451164View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Occupational Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Occupational Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What is DR. JUSTIN BLAKE STREEFKERK (PT, DPT)'s NPI number?
DR. JUSTIN BLAKE STREEFKERK (PT, DPT)'s NPI is 1194082073 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. JUSTIN BLAKE STREEFKERK (PT, DPT)?
For scheduling context, DR. JUSTIN BLAKE STREEFKERK (PT, DPT) is shown as active in the registry.
What clinical focus is listed for DR. JUSTIN BLAKE STREEFKERK (PT, DPT)?
At a glance, DR. JUSTIN BLAKE STREEFKERK (PT, DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Michigan is DR. JUSTIN BLAKE STREEFKERK (PT, DPT) registered?
Use Saint Clair Shores, Michigan as the headline location for DR. JUSTIN BLAKE STREEFKERK (PT, DPT) here.
Does DR. JUSTIN BLAKE STREEFKERK (PT, DPT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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