MEDICARE: JUSTIN MARK LAYMAN 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	2251S0007X	Sports Physical Therapist	P21520	NC
2	2251S0007X	Sports Physical Therapist	2305206238	VA

General Provider Information

NPI Number	:	1962724500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN MARK LAYMAN DPT

Provider Business Mailing Address
First Line	:	2817 ROCK MERRITT AVENUE
Second Line	:
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2817 ROCK MERRITT AVENUE
Second Line	:
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-0001
Country	:	US
Telephone Number	:	910-907-8922
Fax Number	:	910-907-6069

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

Provider Enumeration Date	:	02/24/2010
Last Update Date	:	12/17/2025

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