Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Justin David Waldorf, DPT

Individual provider Physical Therapist · NPI 1114291838

Dr. Justin David Waldorf, DPT is a Physical Therapist in Private Practice in Fayetteville, Arkansas. Qualified in 2011, 15 years ago. Practices with Medical Associates of Northwest Arkansas, PA, a 104-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
15
Licensed in
AR
In the registry since
2012
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3344 N Futrall Dr
Fayetteville, AR 72703-4057
Phone: (479) 582-7213
Fax: (479) 582-7329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT4423 (AR)

Record details

NPI number1114291838
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedFebruary 27, 2012
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Medical Associates Of Northwest Arkansas, Pa — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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