Julie V Bastille, PT MS
Individual provider Active NPI Physical Therapist · Salem, NH
NPI 1396940318 · NPPES record last updated Oct 16, 2015
Key facts
- NPI
- 1396940318
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1467 (NH)
- Practice address
- 70 Butler St.
Salem, NH 03079 - Phone
- (603) 893-2900
- Fax
- (603) 893-1628
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11734 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lynn Boudreau PT II LLC | Physical Therapist | Past |
Accepting new patients |
| Physical Therapy Services of Brattleboro Inc | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1467 | NH | Yes |
| Physical Therapist | 225100000X | 11734 | MA |
Addresses
Primary practice location
70 Butler St.
Salem, NH 03079
Mailing address
70 Butler St.
Salem, NH 03079
Phone (603) 501-5519
Other providers in Salem, NH
- Kelli Hayes Baron
- Kelly Barry
- Ronda Barth
- Morgan Bartley
- John B Bassett
- Kathleen Beach
- Katelyn Becker
- Bethany M Bedard
- Michelle M Bedigian
- Christina Belfakih
All providers in Salem, NH · Physical Therapist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.