Individual provider Active NPI

Justin P Bachelder, PT

  • Physical Therapist
  • Lebanon, IN
National Provider Identifier
1801534409
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP055127T Issued in CO
Practice address
1519 W South St Ste 300
Lebanon, IN 46052-2371
Phone
(765) 335-3355
Fax
(765) 485-9073
NPI assigned
May 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 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 CP055127T CO Primary

Addresses

Primary practice location

1519 W South St Ste 300
Lebanon, IN 46052-2371

Mailing address

30940 Stagecoach Blvd # 110
Evergreen, CO 80439-7984
Phone (303) 222-4312

Other practice location 1

1750 112th Ave NE
Bellevue, WA 98004-3752
Phone (425) 289-0381

Other practice location 2

30940 Stagecoach Blvd # 110
Evergreen, CO 80439-7984
Phone (303) 674-1594

Other practice location 3

2424 N Wyatt Dr Ste 130
Tucson, AZ 85712-6102
Phone (520) 784-6570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250909002167 WA Practitioner - Physical Therapist in Private Practice 8325414428 Reassigns benefits to 1 organization
I20260305004282 AZ Practitioner - Physical Therapist in Private Practice 8325414428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians
Tucson Orthopaedic Institute Professional CorporationGroup PAC ID 5799671905, 108 clinicians

Practice addresses (Care Compare)

1750 112TH Ave NE
Suite E175
Bellevue, WA 98004-3781
Phone (425) 289-0381

2424 N Wyatt Dr
Suite 130
Tucson, AZ 85712-6115
Phone (520) 784-6570

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP055127TCOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Orthopaedic Institute Professional Corporation Physical Therapist CurrentSince Dec 31, 2025 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Sep 8, 2025 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist Current Accepting new patients
Tucson Orthopaedic Institute Professional Corporation Physical Therapist CurrentSince Dec 31, 2025 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Sep 8, 2025 Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Past Accepting new patients

Locations

2424 N Wyatt Dr
Ste 130
Tucson, AZ 85712
Phone (520) 784-6570

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

1750 112th Ave NE
Ste E175
Bellevue, WA 98004
Phone (425) 289-0381

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

Organizations & group practices 6

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": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1801534409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30940 STAGECOACH BLVD # 110",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397984",
            "telephone_number": "303-222-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 W SOUTH ST STE 300",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460522371",
            "telephone_number": "765-335-3355",
            "fax_number": "765-485-9073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 112th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043752",
            "country_code": "US",
            "telephone_number": "425-289-0381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30940 Stagecoach Blvd # 110",
            "address_purpose": "LOCATION",
            "city": "Evergreen",
            "state": "CO",
            "postal_code": "804397984",
            "country_code": "US",
            "telephone_number": "303-674-1594",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2424 N Wyatt Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857126102",
            "country_code": "US",
            "telephone_number": "520-784-6570",
            "fax_number": "520-784-6574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACHELDER",
        "first_name": "JUSTIN",
        "middle_name": "P",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-24",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP055127T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.