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

Justin Michael Pennington, DPT, PT

Individual provider Physical Therapist · NPI 1336009836

Justin Michael Pennington, DPT, PT is a Physical Therapist in Private Practice in Keizer, Oregon. Qualified in 2025, 1 year ago. Practices with Beacon Orthopaedics and Sports Medicine Ltd, a 471-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio, Oregon and Tennessee.

Years since qualifying
1
Licensed in
OH, OR, TN
In the registry since
2025
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

109 McNary Estates Dr N
Keizer, OR 97303-7459
Phone: (503) 463-5231
Fax: (503) 463-5175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6480 Harrison Ave, Cincinnati, OH 45247-7961 — (513) 354-3700

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence CP056203T (OR)
Physical Therapist Taxonomy 225100000X · Licence PT022122 (OH)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 16878 (TN)

Record details

NPI number1336009836
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , PT
Sole proprietorNo
NPI enumeratedNovember 17, 2025
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Beacon Orthopaedics And Sports Medicine Ltd — 471 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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