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

Justin Thibault, PT, DPT

Individual provider Physical Therapist · NPI 1548942436

Justin Thibault, PT, DPT is a Physical Therapist in Private Practice in Charlotte, North Carolina. Qualified in 2023, 3 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
3
Licensed in
NC
In the registry since
2023
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.

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Practice location Address checks out

11108 S Tryon St
Charlotte, NC 28273-4503
Phone: (980) 326-3660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3360 Magnolia Ave, Long Beach, CA 90806-1234 — (844) 502-7996

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P22668 (NC)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1548942436
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 1, 2023
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 27, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ivyrehab North Carolina Llc — 154 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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