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

Justin Eidsmoe, DPT

Individual provider Physical Therapist · NPI 1629579685

Justin Eidsmoe, DPT is a Physical Therapist in Private Practice in Decatur, Alabama. Graduated from University of Alabama School of Medicine in 2017, 9 years ago. Practices with Agilitas USA, Inc, a 810-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
9
Trained at
University of Alabama School of Medicine
Licensed in
AL
In the registry since
2018
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

1241 Pt Mallard Pkwy Ste 201
Decatur, AL 35601-6555
Phone: (256) 350-9750
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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 PTH8822 (AL)

Record details

NPI number1629579685
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 26, 2018
Last updated in NPPESOctober 4, 2019
Mailing address800 Crescent Centre Dr Ste 300, Franklin, TN 37067-7285

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Agilitas Usa, Inc — 810 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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