Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN JAMES DEPERMENTIER, PT, DPT, ATC
ActiveJUSTIN JAMES DEPERMENTIER, PT, DPT, ATC is a Physical Therapy Assistant healthcare provider located in BROOMALL, Pennsylvania. NPI 1629461868 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BROOMALL, PA
Registration Details
- NPI Number
- 1629461868
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 12, 2015 (11.384560072379 yrs)
- Last Updated
- Jan 19, 2023
- Licenses
-
070.022242 (IL)PT024201 (PA)
Practice Information
- Address
-
450 PARK WAYSUITE ABROOMALL, PA, 190084202Browse PA providers · Browse ZIP 19008
- Phone
- 6103551780
- Fax
- 4844283813
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in BROOMALL, PA
| Name | Credential | NPI |
|---|---|---|
| STEPHEN TODARO | PT | 1720053622 |
| JEREMY JON GRESH | DPT | 1891753901 |
| MR. RICHARD K SWALLOW | LPT | 1447299276 |
| MRS. TONIA VIRNELSON | P.T. | 1538172796 |
| MRS. JENNIFER LEE O'GARA | MPT | 1124132212 |
| MRS. TAMARA CROWE BEAN | MSPT | 1518015031 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.