JUSTINE NICOLE STEVENS (PT, DPT) – Physical Medicine & Rehabilitation Physician, NPI 1629814645

JUSTINE NICOLE STEVENS (PT, DPT) is a healthcare provider. based in Lehi, Utah. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 13980606-2401 (UT). The NPI Number for JUSTINE NICOLE STEVENS (PT, DPT) is 1629814645

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
JUSTINE NICOLE STEVENS (PT, DPT)
NPI
1629814645
Phone
Not provided
Address
374 W 1860 S
Enumeration Date
9 July 2024
Last Update Date
9 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5306767184
Graduation Year
2024 (2 years ago)
PAC ID
6103344080
Group Practice PAC ID
8426036765
Professional Enrollment ID
I20250514002855
Address ID
CA956828864CA1060XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT

Provider Addresses for JUSTINE NICOLE STEVENS (PT, DPT)

  • 374 W 1860 S

    LEHI, UT 840434925

    Phone:

    Type: Mailing

  • 94 N HIGHWAY 198

    SANTAQUIN, UT 846558231

    Phone: (801) 754-5700

    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: 2025-05-14

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
I20250514002855IPhysical Therapist In Private PracticeCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84043)

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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: 8426036765View full group profile
NameSpecialtyState
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Can I cross-check JUSTINE NICOLE STEVENS (PT, DPT) using NPI 1629814645?
NPI 1629814645 belongs to JUSTINE NICOLE STEVENS (PT, DPT); compare other details if you need extra assurance.
Would JUSTINE NICOLE STEVENS (PT, DPT) appear as active to a payer?
You can treat JUSTINE NICOLE STEVENS (PT, DPT) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to JUSTINE NICOLE STEVENS (PT, DPT)?
JUSTINE NICOLE STEVENS (PT, DPT)'s specialty line reads Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JUSTINE NICOLE STEVENS (PT, DPT)?
Travel planning: use Lehi, Utah as the reference point for JUSTINE NICOLE STEVENS (PT, DPT), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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