JUSTIN RADAKER (DPT) – Physical Therapist, NPI 1679009609

JUSTIN RADAKER (DPT) is a healthcare provider. based in Clarion, Pennsylvania. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT025851 (PA). The NPI Number for JUSTIN RADAKER (DPT) is 1679009609

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN RADAKER (DPT)
NPI
1679009609
Phone
(814) 226-1356
Address
18 SPORTSMAN DR STE 10
Enumeration Date
11 May 2017
Last Update Date
6 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3077349129
Graduation Year
2016 (10 years ago)
PAC ID
2466786405
Group Practice PAC ID
0345242178
Professional Enrollment ID
I20251204002398
Address ID
WY830018657JA120XXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

4,253 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA

Provider Addresses for JUSTIN RADAKER (DPT)

  • Sportsman Drive, Monroe Township, Clarion County, Pennsylvania, 16214, United States

    CLARION, PA 162148572

    Phone: (814) 226-1356

    Fax: (814) 226-1240

    Type: Mailing

  • 499 Mayfield Road

    Office 134

    Clarion, PA 16214

    Phone: (814) 226-1356

    Fax: (814) 226-1240

    Type: Location

  • 1294 E Main St

    Clarion, PA 162141212

    Phone: (814) 297-8093

    Fax: (814) 297-8176

    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: 2025-12-04

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
I20251204002398IPhysical Therapist In Private PracticeWYTBD

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
97113Therapy procedure using water pool to exercises, each 15 minutes1,22328$0
97530Therapy procedure using functional activities18617$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes18013$0
97161Evaluation for physical therapy, typically 20 minutes2120$0
View full utilization report →

Insurance plans in this area (ZIP 16214)

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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: 0345242178View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeWY
-WY
Physical Therapist In Private PracticeID
-WY
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticePA

Reviews

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Frequently asked questions

Is JUSTIN RADAKER (DPT) listed with a National Provider Identifier?
Yes — JUSTIN RADAKER (DPT) has NPI 1679009609 on file in the registry.
Active or inactive — what applies to JUSTIN RADAKER (DPT)?
You should see JUSTIN RADAKER (DPT) as active in CMS-hosted NPPES data.
What expertise is attributed to JUSTIN RADAKER (DPT)?
JUSTIN RADAKER (DPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JUSTIN RADAKER (DPT)?
Travel planning: use Clarion, Pennsylvania as the reference point for JUSTIN RADAKER (DPT), then confirm.
Does JUSTIN RADAKER (DPT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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