Individual provider Active NPI

Julie E Vollbrecht, DPT

  • Physical Therapist
  • Millsboro, DE
National Provider Identifier
1215552419
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4272 Issued in NV
Practice address
28535 E. Dupont Highway
Ste 1
Millsboro, DE 19966
Phone
(302) 297-0700
Fax
(302) 297-0701
NPI assigned
Jun 12, 2020
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4272 NV Primary

Addresses

Primary practice location

28535 E. Dupont Highway
Ste 1
Millsboro, DE 19966

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

8402 Centennial Pkwy Ste 240
Las Vegas, NV 89149-4793
Phone (702) 294-7499

Other practice location 2

1333 N Buffalo Dr
Las Vegas, NV 89128-3634
Phone (702) 832-0289

Other identifiers 1

IdentifierTypeStateIssuer
PT-2023-2278OtherNMLICENSE-PT

Other names 1

  • Julie E Haake Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231105000052 NM Practitioner - Physical Therapist in Private Practice 2365865243 Reassigns benefits to 1 organization
I20241007002864 MO Practitioner - Physical Therapist in Private Practice 2365865243 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4272NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Serc Rebabilitation Partners, LLC Physical Therapist CurrentSince Sep 23, 2024 Accepting new patients
Hometown Care, LLC Physical Therapist CurrentSince Nov 21, 2023 Accepting new patients
Serc Rehabilitation Partners, LLC Physical Therapist CurrentSince Sep 23, 2024 Accepting new patients
Therapy West LLC Physical Therapist PastSince Jun 1, 2020 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

1225 SW State Route 7
Blue Springs, MO 64014
Phone (816) 295-2051

109 W Franklin St
Clinton, MO 64735
Phone (660) 383-1280

7932 N Oak Trfy
Ste 212
Kansas City, MO 64118
Phone (816) 420-0286

834 Paseo del Pueblo Sur
Taos, NM 87571
Phone (575) 418-6787

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, 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": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1215552419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28535 E. DUPONT HIGHWAY",
            "address_2": "STE 1",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "19966",
            "telephone_number": "302-297-0700",
            "fax_number": "302-297-0701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8402 Centennial Pkwy Ste 240",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891494793",
            "country_code": "US",
            "telephone_number": "702-294-7499",
            "fax_number": "702-294-7494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1333 N Buffalo Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891283634",
            "country_code": "US",
            "telephone_number": "702-832-0289",
            "fax_number": "702-564-4838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOLLBRECHT",
        "first_name": "JULIE",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE-PT",
            "identifier": "PT-2023-2278",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "HAAKE",
            "middle_name": "E",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Millsboro, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.