Julie Tackett

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

004729 Issued in OH

Practice address

196 Township Road 170
Chesapeake, OH 45619-7956

Phone

(304) 521-5063

NPI assigned

Oct 2, 2026

Last updated

Oct 2, 2026By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1134023393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 TOWNSHIP ROAD 170",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456197956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 TOWNSHIP ROAD 170",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456197956",
            "telephone_number": "304-521-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACKETT",
        "first_name": "JULIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "004729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Strong
• Wendy Stutler
• Stephen Suiter
• Stephen Parker Suter
• Celina Sweet
• Joshua Taylor
• Sally Gail Taylor
• Jerry Edward Thomas, LICDC-CS
• Triffawna R Thomas, LPN
• Stephanie Thompson, CDCA.188284

• Physical Medicine & Rehabilitation Physician in Chesapeake, OH
• Providers in Chesapeake, OH by specialty
• Physical Medicine & Rehabilitation Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.