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

Justin Mathew Kiesel, DPT

Individual provider Physical Therapist · NPI 1548723810

Justin Mathew Kiesel, DPT is a Physical Therapist in Private Practice in Indianapolis, Indiana. Graduated from Indiana Medical College, School of Medicine of Purdue University in 2019, 7 years ago. Practices with Prorehab Inc, a 81-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Trained at
Indiana Medical College, School of Medicine of Purdue University
Licensed in
IN
In the registry since
2019
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

6280 N College Ave Ste 300
Indianapolis, IN 46220-2029
Phone: (317) 251-0500
Fax: (317) 251-0600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 225 Crosslake Dr, Evansville, IN 47715-8198 — (812) 477-1558

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05013406A (IN)

Record details

NPI number1548723810
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 12, 2019
Last updated in NPPESMay 4, 2021
Certification dateMay 4, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolINDIANA MEDICAL COLLEGE, SCHOOL OF MEDICINE OF PURDUE UNIVERSITY
Graduated 2019 (7 years in practice)
Group practice Prorehab Inc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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