Julie Vedua, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501004331 Issued in MI

Practice address

24345 Harper Ave
Saint Clair Shores, MI 48080-1285

Phone

(586) 563-3300

Fax

(586) 563-3313

NPI assigned

May 25, 2010

Last updated

Nov 5, 2010By 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 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Mary Rehabilitation Services LLCGroup PAC ID 0749351054, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• St Mary Rehabilitation Services LLC

  • Physical Therapy Clinic/Center
  • Clinton TWP, MI
  • NPI 1275724502

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Advanced Physical Medicine, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Saint Clair Shores, MI
  • NPI 1932129319
  NPD (past)
• Rehab R US LLC

  • Physical Therapist
  • Sterling Heights, MI
  • NPI 1942514872
  NPD (past)

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1124347521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24345 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801285",
            "telephone_number": "586-563-3300",
            "fax_number": "586-563-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24345 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801285",
            "telephone_number": "586-563-3300",
            "fax_number": "586-563-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEDUA",
        "first_name": "JULIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "P33330004",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maggie Varney
• Michelle Marie Varney, MA, CCC-SLP
• Matthew Vasko, M.D.
• Renee Vatne, PT
• VCCF Home Care LLC (VCCF Adult Day Services)
• Anthony Frank Veggian, LMSW
• Victor Velocci, M.D.
• Sachin Venkatachalam, PT
• Sarah Ventimiglia, PA-C
• William A Ventimiglia, M.D.

• Physical Therapist in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.