Individual provider Active NPI

Julie C Tellefsen, PT, DPT, CSCS

  • Orthopedic Physical Therapist
  • Wesley Chapel, FL
National Provider Identifier
1285080812
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT31368 Issued in FL
Practice address
2008 Ashley Oaks Cir
Wesley Chapel, FL 33544-6400
Phone
(813) 907-0430
NPI assigned
May 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT31368 FL Primary

Addresses

Primary practice location

2008 Ashley Oaks Cir
Wesley Chapel, FL 33544-6400

Mailing address

26830 Ridgebrook Dr
Ste 102
Wesley Chapel, FL 33544-6464
Phone (813) 345-4915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170126002316 FL Practitioner - Physical Therapist in Private Practice 0648552604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Royal Palm Beach Rehab, CorpGroup PAC ID 3476683335, 62 clinicians

Practice addresses (Care Compare)

6912 Asphalt Ave
Tampa, FL 33614-3625
Phone (813) 723-1927

Merit-based Incentive Payment System (MIPS)

Final score
29.16 of 100Reported as group
Quality
0
Promoting interoperability
59
Improvement activities
0
Cost
48.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Palm Beach Rehab, Corp CurrentSince Apr 8, 2024 Accepting new patients
Royal Palm Beach Rehab, Corp. CurrentSince Apr 8, 2024 Accepting new patients
Royal Palm Beach Rehab, Corp Current Accepting new patients
Renewal Rehabilitation, Inc. Past Accepting new patients

Locations

4971 Le Chalet Blvd
Ste 100
Boynton Beach, FL 33436
Phone (561) 733-5590

6912 Asphalt Ave
Tampa, FL 33614
Phone (262) 488-0118

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": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1285080812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26830 RIDGEBROOK DR",
            "address_2": "STE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446464",
            "telephone_number": "813-345-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 ASHLEY OAKS CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446400",
            "telephone_number": "813-907-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLEFSEN",
        "first_name": "JULIE",
        "middle_name": "C",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT31368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.