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

Justin D Eisenhofer, DPT, OCS, CSCS

Individual provider Physical Therapist · NPI 1649284977

Justin D Eisenhofer, DPT, OCS, CSCS is a Physical Therapist in Private Practice in Leesport, Pennsylvania. Qualified in 2002, 24 years ago. Practices with South Mountain Physical Therapy LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Pennsylvania and West Virginia.

Years since qualifying
24
Licensed in
PA, WV
In the registry since
2006
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

5479 Pottsville Pike Ste 200
Leesport, PA 19533-8650
Phone: (610) 926-6778
Fax: (610) 926-7200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT019473 (PA)
Physical Therapist Taxonomy 225100000X · Licence 002261 (WV)

Record details

NPI number1649284977
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , OCS , CSCS
Sole proprietorNo
NPI enumeratedJuly 29, 2006
Last updated in NPPESMay 27, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice South Mountain Physical Therapy Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Leesport