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

Mr. Brock Justin Dodsworth, PTA

Individual provider Physical Therapy Assistant · NPI 1265678197

Mr. Brock Justin Dodsworth, PTA is a Physical Therapy Assistant in Fort Leonard Wood, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098
Phone: (573) 596-1707
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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 2007031481 (MO)

Record details

NPI number1265678197
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedDecember 24, 2008
Last updated in NPPESFebruary 13, 2019

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