Individual provider Active NPI

Julie Amendola

  • Physical Medicine & Rehabilitation Physician
  • Arlington, TX
National Provider Identifier
1437248929
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OT100122 Issued in TX
Practice address
1601 E Lamar Blvd Ste 109
Arlington, TX 76011-4465
Phone
(817) 795-6316
Fax
(817) 795-6318
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OT100122 TX Primary

Addresses

Primary practice location

1601 E Lamar Blvd Ste 109
Arlington, TX 76011-4465

Mailing address

1601 E. Lamar Blvd Ste 109
Arlington, TX 76011-4465
Phone (817) 795-6316

Other practice location 1

810 Lipscomb St
Fort Worth, TX 76104-3158
Phone (817) 877-4133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT100122TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Advantage Homecare, Inc. PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437248929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E. LAMAR BLVD STE 109",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760114465",
            "telephone_number": "817-795-6316",
            "fax_number": "817-795-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E LAMAR BLVD STE 109",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760114465",
            "telephone_number": "817-795-6316",
            "fax_number": "817-795-6318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Lipscomb St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043158",
            "country_code": "US",
            "telephone_number": "817-877-4133",
            "fax_number": "817-877-4335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMENDOLA",
        "first_name": "JULIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "OT100122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.