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

Justin J Shelley, DPT

Individual provider Physical Therapist · NPI 1053643205

Justin J Shelley, DPT is a Physical Therapist in Private Practice in Kirkland, Washington. Qualified in 2009, 17 years ago. Practices with Peak Sports and Spine Physical Therapy Lake City Ps, a 6-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2010
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

11800 NE 128th St Ste 400
Kirkland, WA 98034-7299
Phone: (425) 820-0869
Fax: (425) 820-1745
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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 36478 (CA)

Record details

NPI number1053643205
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 12, 2010
Last updated in NPPESOctober 24, 2015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Peak Sports And Spine Physical Therapy Lake City Ps — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kirkland