Julia Buckelew, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1277961 Issued in TX

Practice address

4100 Fairway Dr Ste 400
Carrollton, TX 75010

Phone

(469) 346-7004

NPI assigned

May 23, 2016

Last updated

Aug 29, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Julia Nugent Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bravo Physio & Wellness, PLLC

  • Physical Therapy Clinic/Center
  • McKinney, TX
  • NPI 1194306654
  NPD Authorized official

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1225485055",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 FAIRWAY DR STE 400",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75010",
            "telephone_number": "469-346-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKELEW",
        "first_name": "JULIA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3118982",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1277961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "NUGENT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Bryan, MD
• Bethany M Bryant, PA
• Bryson Price Physical Therapy PLLC
• Btdi JV LLP (Baylor Diagnostic Imaging Center Carrollton and Women's Imaging Center)
• Richard G Buch, M.D.
• Isha A Budhwani
• Brenda Bui, DDS
• Thoai Peter Bui, O.D.
• Jose L Burbano de Lara, MD
• Ryan R. Burden, D.C.

• Physical Therapist in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.