Julie Evilsizer, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160002480 Issued in IL

Practice address

201 Lafayette Ave
Mattoon, IL 61938-4409

Phone

(217) 235-5449

Fax

(217) 235-0611

NPI assigned

Jun 10, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Select Outpatient Services Inc

  • Rehabilitation Clinic/Center
  • Newcastle, WA
  • NPI 1285909531
  NPD (past)

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1487974549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 FRONTAGE RD",
            "address_2": "SUITE 2415",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931202",
            "telephone_number": "847-441-5593",
            "fax_number": "847-441-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LAFAYETTE AVE",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384409",
            "telephone_number": "217-235-5449",
            "fax_number": "217-235-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVILSIZER",
        "first_name": "JULIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160002480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alesha Esker, OTR/L
• Barbara E Estes, M.S.
• Sandra Lynn Ettema, M.D., PH.D.
• Jessica Marie Evans, BS
• Amy Nicole Evermon, M.S.ED
• Family Home Care, Inc.
• Kathleen Farrell, BA
• Joanna Faught
• Paul William Fearday, BA MHP
• Joni D. Ferguson, M.D.

• Physical Therapy Assistant in Mattoon, IL
• Providers in Mattoon, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.