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

Dr. Justin Raphael Ignaco, PT, DPT

Individual provider Physical Therapist · NPI 1801515671

Dr. Justin Raphael Ignaco, PT, DPT is a Physical Therapist in Private Practice in Glenview, Illinois. Qualified in 2022, 4 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
4
Licensed in
CA, IL
In the registry since
2022
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2301 Willow Rd Ste L
Glenview, IL 60025-7637
Phone: (630) 933-1500
Fax: (630) 933-1550
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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 070027148 (IL)
Physical Therapist Taxonomy 225100000X · Licence PT302598 (CA)

Record details

NPI number1801515671
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 25, 2022
Last updated in NPPESJune 3, 2024
Certification dateJune 3, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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