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

Justin Kyle Squeo, DPT

Individual provider Physical Therapist · NPI 1740013945

Justin Kyle Squeo, DPT is a Physical Therapist in Private Practice in Mooresville, North Carolina. Qualified in 2024, 2 years ago. Practices with Ivyrehab North Carolina LLC, a 154-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2024
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

201 N Church St Ste 110
Mooresville, NC 28115-2602
Phone: (704) 909-7808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9512 Harford Rd Ste 3, Baltimore, MD 21234-3127 — (410) 882-3010

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P24013 (NC)

Record details

NPI number1740013945
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 22, 2024
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ivyrehab North Carolina Llc — 154 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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