MEDICARE: JUSTIN MANHOFF PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT	PA

General Provider Information

NPI Number	:	1295400067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN MANHOFF PT, DPT

Provider Business Mailing Address
First Line	:	500 E TOWNSHIP LINE RD
Second Line	:
City	:	HAVERTOWN
State	:	PA
Zip	:	19083-5700
Country	:	US
Telephone Number	:	610-795-7377
Fax Number	:	610-726-1750

Provider Business Practice Location Address
First Line	:	500 E TOWNSHIP LINE RD
Second Line	:
City	:	HAVERTOWN
State	:	PA
Zip	:	19083-5700
Country	:	US
Telephone Number	:	610-795-7377
Fax Number	:	610-726-1750

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2021
Last Update Date	:	01/21/2026

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