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DR. JUSTIN DAVID DOLFIN DPT, ATC
NPI 1790422863
Physical Therapist - Orthopedic in Mount Pleasant, WI

Active since May 19, 2022
82.39/100
CMS Quality Rating
10180 WASHINGTON AVE, MOUNT PLEASANT, WI 53177(262) 687-7500 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Justin David Dolfin Dpt, Atc NPPES

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

DR. JUSTIN DAVID DOLFIN DPT, ATC (NPI 1790422863) is an individual orthopedic provider in Mount Pleasant, Wisconsin and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1790422863
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameDR. JUSTIN DAVID DOLFINCredential: DPT, ATC
Location Address10180 WASHINGTON AVEMount Pleasant, WI 53177-1604
Mailing Address2160 S Kinnickinnic Ave Apt 413Milwaukee, WI 53207-1324 · (920) 918-9543
Phone(262) 687-7500
Sole ProprietorNo
Enumeration DateMay 19, 2022
NPPES CertifiedMay 19, 2022
✔ NPI 1790422863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
10180 WASHINGTON AVE, Mount Pleasant, WI 53177
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Justin David Dolfin Dpt, Atc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

3

Medicare enrollment records show Justin Dolfin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ascension Medical Group-Southeast Wisconsin Inc
24 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000
Paxxon Healthcare Services LLC
32 mi
Physical Therapist
W180N7890 TOWN HALL RD
Menomonee Falls, WI 53051
  • Reassigned Medicare billing, Wisconsin enrollment
  • 96 clinicians in this Medicare group
NPI 1003174087 (262) 442-4879
Oasis Therapy Services LLC
95 mi
Multi-Specialty
631 HAZEL ST
Oshkosh, WI 54901
  • Reassigned Medicare billing, Wisconsin enrollment
  • 89 clinicians in this Medicare group
NPI 1386381598 (920) 393-9998

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

Other Providers at the Same Location NPPES 8

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

MARGARET KALB PA
Physician Assistant
10180 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
Racine County (262) 687-7500
JAMIE LYNN VACEK
Occupational Therapist
10180 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
Racine County (262) 687-7577
MATTHEW CATON PUTMAN DPT
Physical Therapist
10180 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
Racine County (262) 687-5300
MARY NILLES PT
Physical Therapist
10180 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
Racine County (262) 687-7500
KATHRYN JELACIC APNP
Nurse Practitioner (Family)
10180 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
Racine County (262) 687-7500
ALEXA N AHRENS DPT
Physical Therapist
10180 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
Racine County (262) 687-7577
REBEKAH ANNE LALGEE PTA
Physical Therapy Assistant
10180 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
Racine County (262) 687-7577
CHLOE JEAN COUVES DPT
Physical Therapist
10180 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
Racine County (262) 687-5300

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 Dolfin's NPI number?

The NPI number for Justin Dolfin is 1790422863. It was assigned to this individual provider in the NPPES registry on May 19, 2022.

Where is Justin Dolfin located?

Justin Dolfin practices at 10180 Washington Ave, Mount Pleasant, WI 53177. The listed phone number is (262) 687-7500.

What is Justin Dolfin's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Justin Dolfin enrolled in Medicare?

Yes. Justin Dolfin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Justin Dolfin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Dolfin reassigns Medicare benefits to 3 organizations: Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI), Paxxon Healthcare Services LLC (Menomonee Falls, WI) and Oasis Therapy Services LLC (Oshkosh, WI). 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 Dolfin'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 Dolfin was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.