Julie Double, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-05494 Issued in OH

Practice address

885 Howland Wilson Rd NE
Warren, OH 44484-2115

Phone

(330) 856-2107

Fax

(330) 856-2107

NPI assigned

Feb 7, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Rehabilitation Center

  • Voluntary or Charitable Agency
  • Warren, OH
  • NPI 1366570905
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1093855561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 HOWLAND WILSON RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842115",
            "telephone_number": "330-856-2107",
            "fax_number": "330-856-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 HOWLAND WILSON RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842115",
            "telephone_number": "330-856-2107",
            "fax_number": "330-856-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUBLE",
        "first_name": "JULIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-05494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8674500",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000217944",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Dorsey
• Kimikko Shardae Dorsey
• Loretta Dorsey
• Mykayla Arlene Dorsey
• Olivia Dotson
• Douglas a Dunlap, DO, Inc
• Douglas Family Eyecare, Inc.
• Chad James Douglas, O.D.
• Diana Marie Douglas, O.D.
• Samantha Douglas, CDCA-P

• Physical Therapist in Warren, OH
• Providers in Warren, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.