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

Justin M Buck, DPT

Individual provider Physical Therapist · NPI 1487249140

Justin M Buck, DPT is a Physical Therapist in Private Practice in Saint Peters, Missouri. Qualified in 2020, 6 years ago. Practices with Performance 21 Physical Therapy LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2021
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

3899 Veterans Memorial Pkwy
Saint Peters, MO 63376-6425
Phone: (636) 922-9933
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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 2021006165 (MO)

Record details

NPI number1487249140
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 4, 2021
Last updated in NPPESMarch 4, 2021
Certification dateMarch 4, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Performance 21 Physical Therapy Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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