Individual provider Active NPI

Justin Creasy

  • Physical Therapist
  • Sun City West, AZ
National Provider Identifier
1982372264
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
234158 Issued in AK
Practice address
13540 W Camino del Sol Ste 6
Sun City West, AZ 85375-4435
Phone
(623) 556-5013
Fax
(480) 508-5894
NPI assigned
Sep 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 234158 AK Primary
Orthopedic Physical Therapist 2251X0800X 13460 TN

Addresses

Primary practice location

13540 W Camino del Sol Ste 6
Sun City West, AZ 85375-4435

Mailing address

PO Box 681478
Franklin, TN 37068-1478
Phone (615) 591-6590

Other practice location 1

6701 West Blondell Drive
Wasilla, AK 99623
Phone (907) 357-9755

Other identifiers 1

IdentifierTypeStateIssuer
Q029723MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, CO, AK, AZ4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20210916001497 TN Practitioner - Physical Therapist in Private Practice 3870990914 Reassigns benefits to 3 organizations
I20250321000617 CO Practitioner - Physical Therapist in Private Practice 3870990914 Reassigns benefits to 1 organization
I20250626000546 AK Practitioner - Physical Therapist in Private Practice 3870990914 Reassigns benefits to 1 organization
I20251111001664 AZ Practitioner - Other (Physician) 3870990914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Physician Type (Specify)
Education
University of Tennessee, HSC, College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Orthopedic and Sports Physical Therapy LLCGroup PAC ID 3870494495, 3 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

13540 W Camino del Sol
Suite 6
Sun City West, AZ 85375-4435
Phone (623) 556-5013

6701 W Blondell Dr
Wasilla, AK 99623-0820
Phone (907) 357-9755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
234158AKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Health & Rehab LLC Physical Therapist CurrentSince Mar 18, 2025 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Jun 2, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Current Accepting new patients
Northwest Orthopedic & Sports Physical Therapy LLC Orthopedic CurrentSince Oct 1, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Jun 2, 2025 Accepting new patients
Colorado Health & Rehab LLC Physical Therapist Current Accepting new patients
Dynamix Physical Therapy LLC CurrentSince Aug 30, 2021 Accepting new patients
Colorado Health & Rehab LLC Physical Therapist CurrentSince Mar 18, 2025 Accepting new patients
Star Physical Therapy LP Physical Therapist Past Accepting new patients
Kerry D. Friesen, M.D. PC Past Accepting new patients
Star Physical Therapy LP Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

13540 W Camino del Sol
Ste 6
Sun City West, AZ 85375
Phone (623) 556-5013

5980 Stetson Hills Blvd
Ste 100
Colorado Springs, CO 80923
Phone (719) 574-3111

3854 Village Seven Rd
Colorado Springs, CO 80917
Phone (719) 574-3111

3854 Village Seven Rd
#V7
Colorado Springs, CO 80917
Phone (719) 574-8761

5 N Lafayette Ave
Brownsville, TN 38012
Phone (731) 613-2214

405 N Front St
Greenfield, TN 38230
Phone (731) 678-0221

2946 Winfield Dunn Pkwy
Ste 106
Kodak, TN 37764
Phone (865) 392-1088

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

2060 Rhino Xing
Milan, TN 38358
Phone (731) 613-2214

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1982372264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681478",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681478",
            "telephone_number": "615-591-6590",
            "fax_number": "615-591-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13540 W CAMINO DEL SOL STE 6",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754435",
            "telephone_number": "623-556-5013",
            "fax_number": "480-508-5894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6701 West Blondell Drive",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "99623",
            "country_code": "US",
            "telephone_number": "907-357-9755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREASY",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-01",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "234158",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TN",
            "license": "13460",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q029723",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

Verify at the official NPI Registry.