Julie A. Toler, PTA
Individual provider Active NPI Physical Therapy Assistant · Hortense, GA
NPI 1104062827 · NPPES record last updated Jan 21, 2011
Key facts
- NPI
- 1104062827
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA002384 (GA)
- Practice address
- 102 Gilley Rd
Hortense, GA 31543-9061 - Phone
- (912) 258-2117
- NPI assigned
- Dec 30, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA002384 | GA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA002384 | GA | Yes |
Addresses
Primary practice location
102 Gilley Rd
Hortense, GA 31543-9061
Mailing address
102 Gilley Road
Hortense, GA 31543-0949
Phone (912) 258-2117
Other names
- Julie Boyer
Other providers in Hortense, GA
All providers in Hortense, GA · Physical Therapy Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.