Justin M Pretzel, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

146 Mooresville Commons Way Ste 5E
Mooresville, NC 28117-8938

Phone

(980) 444-0906

Fax

(980) 444-6812

NPI assigned

Jun 24, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Professional Sportscare & Rehab, LLC

  • Clinic/Center
  • Winchester, VA
  • NPI 1033142294

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1013203330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 MOORESVILLE COMMONS WAY STE 5E",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178938",
            "telephone_number": "980-444-0906",
            "fax_number": "980-444-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRETZEL",
        "first_name": "JUSTIN",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-24",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT871375",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206940",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS (PHYSICAL THERAPY)",
            "identifier": "192971",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Bracing, LLC
• Premier Med Supply
• Premise Health of North Carolina Medical PC
• Presbyterian Imaging Centers LLC
• Simone Presley
• Aaron Price
• Bre Bailey Price, MS, CCC-SLP
• Kristin Marie Prochaska, P.A.-C
• Professional Pharmacy Concepts
• Prosperity Path, LLC

• Physical Therapist in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.