Julian Lerone Magee, PT
Individual provider Active NPI Physical Therapist · Gordonsville, TN
NPI 1508053877 · NPPES record last updated Oct 18, 2018
Key facts
- NPI
- 1508053877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 10523 (TN)
- Practice address
- 112 Bradford Blvd
Suite 500
Gordonsville, TN 38563-4600 - Phone
- (615) 683-3490
- Fax
- (615) 683-3495
- NPI assigned
- Oct 1, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10523 | TN | MD | Social Worker |
| PTH 5164 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physical Therpay, LLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH 5164 | AL | |
| Physical Therapist | 225100000X | 10523 | TN | Yes |
Addresses
Primary practice location
112 Bradford Blvd
Suite 500
Gordonsville, TN 38563-4600
Mailing address
112 Bradford Blvd
Suite 500
Gordonsville, TN 38563-4600
Phone (615) 683-3490
Other practice location 1
301 Richard Wilks Rd Ste 1300
White House, TN 37188-9367
Phone (615) 672-4966
Other providers in Gordonsville, TN
- Hometown Healthcare Associates, PLLC
- Hometown Medical LLC
- John Walter Knight III
- Heather D Lambert
- Ali Lannom
- Angela Sue Moss
- David Trenton Payne
- Primary Care Associates of Smith County, Inc.
- Riverview Physician Practices, LLC
- Becky Lynn Roney
All providers in Gordonsville, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2018. 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.