Individual provider Active NPI

Justin Carlyle, DPT

  • Physical Therapist
  • Johnston, IA
National Provider Identifier
1710670765
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
120254 Issued in IA
Practice address
5627 NW 86TH St Ste 200
Johnston, IA 50131-2605
Phone
(515) 270-0303
Fax
(515) 270-0160
NPI assigned
May 26, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 120254 IA Primary

Addresses

Primary practice location

5627 NW 86TH St Ste 200
Johnston, IA 50131-2605

Mailing address

5627 NW 86TH St Ste 200
Johnston, IA 50131-2605
Phone (515) 270-0303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240703003452 IA Practitioner - Physical Therapist in Private Practice 7315481116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bartek Therapy Services, Inc.Group PAC ID 7113906447, 13 clinicians

Practice addresses (Care Compare)

5627 NW 86TH St
Suite 200
Johnston, IA 50131-1738
Phone (515) 270-0303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
120254IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bartek Therapy Services, Inc. Physical Therapist CurrentSince Jun 10, 2024 Accepting new patients
21St Century Rehab PC PastSince May 28, 2023 Accepting new patients
21St Century Rehab PC PastSince May 28, 2023 Accepting new patients

Locations

1810 SW White Birch Cir
Ste 107
Ankeny, IA 50023
Phone (515) 882-2429

5627 NW 86th St
Ste 200
Johnston, IA 50131
Phone (515) 270-0303

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1710670765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5627 NW 86TH ST STE 200",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312605",
            "telephone_number": "515-270-0303",
            "fax_number": "515-270-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5627 NW 86TH ST STE 200",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312605",
            "telephone_number": "515-270-0303",
            "fax_number": "515-270-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLYLE",
        "first_name": "JUSTIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-26",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "120254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.