Individual provider Active NPI

Julie M Cortello, PTA

  • Physical Therapy Assistant
  • Lakeland, FL
National Provider Identifier
1013487511
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA25828 Issued in FL
Practice address
1408 W Lake Parker Dr
Lakeland, FL 33805-3722
Phone
(863) 212-4687
NPI assigned
Nov 28, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA25828FLMDPhysical Therapy Assistant

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X PTA25828 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

1408 W Lake Parker Dr
Lakeland, FL 33805-3722

Mailing address

1408 W Lake Parker Dr
Lakeland, FL 33805-3722
Phone (863) 212-4687

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 28, 2018.

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1013487511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 W LAKE PARKER DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053722",
            "telephone_number": "863-212-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 W LAKE PARKER DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053722",
            "telephone_number": "863-212-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTELLO",
        "first_name": "JULIE",
        "middle_name": "M",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA25828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.