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

Mr. Justin Keller, PT, MPT, OCS, CSCS

Individual provider Physical Therapist · NPI 1649315839

Mr. Justin Keller, PT, MPT, OCS, CSCS is a Physical Therapist in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

See every abbreviation used in this directory →

Practice location Address checks out

1545 E Southlake Blvd Ste 100
Southlake, TX 76092-6422
Phone: (817) 442-9300
Fax: (817) 796-0757
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1129856 (TX)

Record details

NPI number1649315839
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , MPT , OCS , CSCS
Sole proprietorNo
NPI enumeratedFebruary 21, 2007
Last updated in NPPESMarch 2, 2022
Certification dateMarch 2, 2022

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