JUSTIN KYLE SQUEO DPT
NPI 1740013945
Physical Therapist in Mooresville, NC

Active since August 22, 2024Accepts Medicare Assignment
201 N CHURCH ST STE 110, MOORESVILLE, NC 28115(704) 909-7808 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2025, Aug 22, 2024 (2 updates tracked since 2024).

About Justin Kyle Squeo Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN KYLE SQUEO DPT (NPI 1740013945) is an individual physical therapist in Mooresville, North Carolina, licensed in North Carolina (P24013) and active in the NPI registry since August 2024. He maintains a secondary practice location in Baltimore and is a graduate of Other (2024).

NPPES Registry Identity

NPI1740013945
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJUSTIN KYLE SQUEOCredential: DPT
Location Address201 N CHURCH ST STE 110Mooresville, NC 28115-2602
Mailing AddressPo Box 412313Boston, MA 02241-2313
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 22, 2024
Last NPPES UpdateJune 3, 20252 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1740013945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NC · P24013
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
201 N CHURCH ST STE 110, Mooresville, NC 28115

Secondary Practice Location 1

Location 19512 Harford Rd Ste 3Baltimore, MD 21234-3127 · Phone (410) 882-3010 · Fax (410) 882-3014

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Kyle Squeo Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254871494
PECOS Enrollment IDI20250530000190

Medicare Billing Reassignments

2

Medicare enrollment records show Justin Squeo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Medicine & Rehabilitation
5960 FAIRVIEW RD
Charlotte, NC 28210
  • Reassigned Medicare billing, North Carolina enrollment
  • 245 clinicians in this Medicare group
Physical Therapy
52 RISING SUN TOWN CTR
Rising Sun, MD 21911
  • Reassigned Medicare billing, Maryland enrollment
  • 336 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
201 N CHURCH ST STE 110
MOORESVILLE, NC 28115
Physical Therapist
201 N CHURCH ST STE 110
MOORESVILLE, NC 28115
Physical Therapist
201 N CHURCH ST STE 110
MOORESVILLE, NC 28115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Squeo's NPI number?

The NPI number for Justin Squeo is 1740013945. It was assigned to this individual provider in the NPPES registry on August 22, 2024.

Where is Justin Squeo located?

Justin Squeo practices at 201 N Church St Ste 110, Mooresville, NC 28115. The listed phone number is (704) 909-7808.

What is Justin Squeo's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Justin Squeo enrolled in Medicare?

Yes. Justin Squeo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Justin Squeo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Squeo reassigns Medicare benefits to 2 organizations: Ivyrehab North Carolina LLC (Charlotte, NC) and Ati Holdings, LLC (Rising Sun, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Squeo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Justin Squeo was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.