Justin Michael Pettit, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4787 Issued in NE

Practice address

8642 F St
Omaha, NE 68127-1639

Phone

(402) 393-9390

Fax

(402) 393-9388

NPI assigned

Jun 9, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Nebraska College of Medicine, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Siegmund Physical Therapy PCGroup PAC ID 1254460496, 11 clinicians

Horizon Spine Rehabilitation IncGroup PAC ID 1557330446, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Horizon Spine Rehabilitation Inc

  • Physical Therapist
  • Omaha, NE
  • NPI 1538188552
  Medicare reassignment Care Compare group NPD
• Siegmund Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Omaha, NE
  • NPI 1306178447
  Medicare reassignment Care Compare group
• Horizon Spine Rehabilitation Inc

  • Prosthetic/Orthotic Supplier
  • Omaha, NE
  • NPI 1174744619

  Physical Therapist

  NPD
• Horizon Spine Rehabilitation

  • Physical Therapist
  • Blair, NE
  • NPI 1063633592
  NPD (past)

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1962397323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8642 F ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271639",
            "telephone_number": "402-393-9390",
            "fax_number": "402-393-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8642 F ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271639",
            "telephone_number": "402-393-9390",
            "fax_number": "402-393-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Ann-Cherie Pettis
• Malayah Marie Pettis
• Michael Pettis, MD
• Shawn James Pettis, MD
• Baleigh Renee Pettit, CNA
• Kara Pettit, MS OTR/L
• Aubrie Petts
• Frederick Petty, M.D.
• Isabelle Petty
• Stacy Petty

• Physical Therapist in Omaha, NE
• Providers in Omaha, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.