Individual provider Active NPI

Julie Annette Normand, DPT

  • Physical Therapist
  • Bangor, ME
National Provider Identifier
1205370772
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4670 Issued in ME
Practice address
1365 Broadway
Bangor, ME 04401-2401
Phone
(207) 942-2233
NPI assigned
Dec 18, 2016
Last updated
May 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 09520R LA
Physical Therapist 225100000X PT4670 ME Primary

Addresses

Primary practice location

1365 Broadway
Bangor, ME 04401-2401

Mailing address

18 Sunset Dr
Orono, ME 04473-3428
Phone (207) 408-9608

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
09520RLAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Motion Physical Therapy, LLC Physical Therapist CurrentSince Dec 12, 2022 Accepting new patients

Locations

482 Stillwater Ave
Old Town, ME 04468
Phone (207) 827-4100

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1482019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1205370772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SUNSET DR",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044733428",
            "telephone_number": "207-408-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012401",
            "telephone_number": "207-942-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAND",
        "first_name": "JULIE",
        "middle_name": "ANNETTE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-18",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09520R",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.