Julie Wells Koenig, MPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

8798 Issued in NC

Practice address

4012 Park Rd
Suite 200
Charlotte, NC 28209-2377

Phone

(704) 332-4834

Fax

(704) 372-9653

NPI assigned

Apr 3, 2006

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332633600000",
    "number": "1003878406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 RIVER OAKS RD",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297108051",
            "telephone_number": "803-619-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 PARK RD",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092377",
            "telephone_number": "704-332-4834",
            "fax_number": "704-372-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "JULIE",
        "middle_name": "WELLS",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2012-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "8798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Anthony Koeckert, RN
• Jordyn Hudgins Koehler, PA-C
• Sarah Whitescarver Koehler
• Cory Koenig, D.O.
• Elizabeth T Koenig, OTR/L
• Sydney Jane Koenig, DC
• Abigail Koenigsberg, DDS
• Robyn Leigh Koeppen, MD
• Lindsey Eidson Koerich de Paula, D.D.S., M.S.
• Michael Koerner, P.T.A.

• Pediatric Physical Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pediatric Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2012; 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.