Julie Justine Pepito Sios-E
Individual provider Active NPI Physical Therapist · Marshall, IL
NPI 1114662103 · NPPES record last updated May 3, 2022
Key facts
- NPI
- 1114662103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 70024736 (IL)
- Practice address
- 410 N 2ND St
Marshall, IL 62441-1010 - Phone
- (217) 826-2358
- NPI assigned
- May 3, 2022
- 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 |
|---|---|---|---|
| 70024736 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 70024736 | IL | Yes |
Addresses
Primary practice location
410 N 2ND St
Marshall, IL 62441-1010
Mailing address
17100 N Quality Lime Rd Apt 47
Marshall, IL 62441-4468
Phone (917) 704-1241
Other providers in Marshall, IL
- Rhoads to Healthy LLC
- Selah Partners, LLC
- SGM Physical Therapy
- Shore-Murphy and Associates, LLC
- Sadie Belle Siddons
- Sierra Snapp
- Diana Stanley-Newbold
- Steven G Metternich
- Supportive Care of Illinois PC
- Erin R Switzer
All providers in Marshall, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2022. 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.