Julie Gilman Wallace, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL 0012349 Issued in CO

Practice address

1601 E 19TH Ave
Denver, CO 80218-1216

Phone

(720) 402-3801

Fax

(720) 402-3820

NPI assigned

Aug 15, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Insight Physical Therapy and Wellness, PLLC

  • Physical Therapy Clinic/Center
  • Loveland, CO
  • NPI 1154007235
  NPD Authorized official

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1003249855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181216",
            "telephone_number": "720-402-3801",
            "fax_number": "720-402-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181216",
            "telephone_number": "720-402-3801",
            "fax_number": "720-402-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "JULIE",
        "middle_name": "GILMAN",
        "name_prefix": "Dr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL 0012349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Shirley Wallace
• Brandy Dawn Wallace
• Gerald F Wallace, DDS
• Graham Wilson Wallace, MD
• Jessica Danielle Wallace, MD
• Karrina Wallace, ND
• Madison Wallace
• Nicole Marie Wallace, PH.D.
• Stephen Blake Wallace, MD
• Wallach Womens Wellness

• Physical Therapist in Denver, CO
• Providers in Denver, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.