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

Justine Marie Prikosovich, PTA, CNS

Individual provider Physical Therapy Assistant · NPI 1558122994

Justine Marie Prikosovich, PTA, CNS is a Physical Therapy Assistant in North Liberty, Indiana. Licensed in Indiana. Registered with an NPI since 2024.

Licensed in
IN
In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.
CNS — Clinical Nurse Specialist
An advanced practice nurse specialising in a patient population or setting.

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Practice location Address checks out

65250 Sycamore Rd
North Liberty, IN 46554-9086
Phone: (574) 303-9292
Fax: (574) 381-5414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 06005026A (IN)

Record details

NPI number1558122994
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA , CNS
Sole proprietorNo
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 22, 2024

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