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

Phillip Michael Justice

Individual provider Physical Therapist · NPI 1255050134

Phillip Michael Justice is a Physical Therapist in Private Practice in Fort Worth, Texas. Qualified in 2022, 4 years ago. Practices with Ideal Physical Therapy of Texas LLC, a 360-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2022
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Practice location Address checks out

2600 W 7th St Ste 137
Fort Worth, TX 76107-9316
Phone: (682) 233-6462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5421 Patterson Ave, Richmond, VA 23226-2003 — (804) 288-0642

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305215257 (VA)

Record details

NPI number1255050134
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 24, 2022
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025
Mailing address2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ideal Physical Therapy Of Texas Llc — 360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Fort Worth