Julie K Waddell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00007193 Issued in WA

Practice address

1105 27TH St
Anacortes, WA 98221-2710

Phone

(360) 855-7536

NPI assigned

Jul 29, 2005

Last updated

Jul 7, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Julie K Andersen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Merit Rehab, LLC

  dba Mount Vernon Physical Therapy

  • Physical Therapist
  • Mount Vernon, WA
  • NPI 1285827816
  NPD (past)
• Quality Physical Therapy, Inc. P.S.

  • Physical Therapy Clinic/Center
  • Burlington, WA
  • NPI 1497944540
  NPD (past)
• Merit Rehab, LLC

  dba Cottage Grove Physical Therapy

  • Physical Therapist
  • Cottage Grove, OR
  • NPI 1619285038
  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1396745543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 27TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212710",
            "telephone_number": "360-855-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 27TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212710",
            "telephone_number": "360-855-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "JULIE",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7155104",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "ANDERSEN",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vivere Therapy
• Laura Ann Vogel, M.S. CCC-SLP
• Walter Vyhmeister, PH.D
• Waatu Inc. (Fidalgo Care Center)
• Waatu, Inc. (San Juan Rehabilitation and Care Center)
• Jane C Wagner, LMFT
• Jason Wagner
• Rachel Danielle Wagner, M.S., BCBA
• Donald E. Wakelin, MD
• Walgreen Co (Walgreens #07131)

• Physical Therapist in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.