Active NPI
Julie Lavoie, PT
- Pediatric Physical Therapist
- Charlotte, NC
National Provider Identifier
1043450299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1161
- Practice address
- 8257 Tradd CT
Charlotte, NC 28210-7297 - Phone
- (704) 575-2670
- Fax
- (704) 553-7587
- NPI assigned
- Mar 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 1161 | NC | Primary |
Addresses
Primary practice location
8257 Tradd CT
Charlotte, NC 28210-7297
Mailing address
8257 Tradd CT
Charlotte, NC 28210-7297
Phone (704) 575-2670
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1161 | NC | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childworks Therapy, LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235865600000",
"number": "1043450299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8257 TRADD CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282107297",
"telephone_number": "704-575-2670",
"fax_number": "704-553-7587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8257 TRADD CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282107297",
"telephone_number": "704-575-2670",
"fax_number": "704-553-7587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVOIE",
"first_name": "JULIE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-01",
"last_updated": "2009-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NC",
"license": "1161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.