Active NPI
Julie Radack, PT
- Physical Therapist
- Lynchburg, VA
National Provider Identifier
1164584314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305211768
- Practice address
- 1912 Memorial Ave
Lynchburg, VA 24501-1708 - Phone
- (434) 845-8765
- Fax
- (434) 845-8467
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305211768 | VA | Primary |
Addresses
Primary practice location
1912 Memorial Ave
Lynchburg, VA 24501-1708
Mailing address
1912 Memorial Ave
Lynchburg, VA 24501-1708
Phone (434) 845-8765
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305211768 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Therapy Associates, Inc. | Physical Therapist | Past | Accepting new patients |
| Horizon Pediatric Therapy, Inc. | Pediatrics | Past | Accepting new patients |
| Bright Horizon Rehab Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| Blue Ridge Therapy Associates, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Lynchburg, VA
- NPI 1912030685
-
- Rehabilitation Clinic/Center
- Lynchburg, VA
- NPI 1396706065
Physical Therapist
-
- Physical Therapist
- Peoria, AZ
- NPI 1447493226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1164584314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1912 MEMORIAL AVE",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245011708",
"telephone_number": "434-845-8765",
"fax_number": "434-845-8467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1912 MEMORIAL AVE",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245011708",
"telephone_number": "434-845-8765",
"fax_number": "434-845-8467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADACK",
"first_name": "JULIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305211768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
- Quinn'S Home Solutions
- R and D Covenant Holdings PLLC
- R. Drake Covey DDS LTD
- R.T and Company Transportation Inc
- R&D Covenant Holding
- Radiance Community Care LLC
- Radiant Health and Wellness LLC
- Radiation Oncology Associates of Lynchburg, Inc.
- Radiology Consultants of Lynchburg
- Radiology Consultants of Lynchburg Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.