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

Justin James Depermentier, PT, DPT, ATC

Individual provider Physical Therapist · NPI 1629461868

Justin James Depermentier, PT, DPT, ATC is a Physical Therapist in Broomall, Pennsylvania. Licensed in Illinois and Pennsylvania. Registered with an NPI since 2015.

Licensed in
IL, PA
In the registry since
2015
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.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

450 Park Way Ste A
Broomall, PA 19008-4202
Phone: (610) 355-1780
Fax: (484) 428-3813
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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 PT024201 (PA)
Physical Therapist Taxonomy 225100000X · Licence 070.022242 (IL)

Record details

NPI number1629461868
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , ATC
Sole proprietorNo
NPI enumeratedMarch 12, 2015
Last updated in NPPESJanuary 19, 2023
Certification dateJanuary 19, 2023

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