Individual provider Active NPI

Julie Lee, PT

  • Physical Therapist
  • Plainfield, IN
National Provider Identifier
1609280510
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05011475A Issued in IN
Practice address
207 W Main St
Plainfield, IN 46168-1117
Phone
(179) 362-5203
NPI assigned
Jun 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05011475A IN Primary

Addresses

Primary practice location

207 W Main St
Plainfield, IN 46168-1117

Mailing address

207 W Main St
Plainfield, IN 46168-1117
Phone (317) 936-2520

Other identifiers 1

IdentifierTypeStateIssuer
201246050MedicaidIN

Other names 1

  • Julie Hamlin Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
05011475AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Lee Physical Therapy, LLC CurrentSince Jan 22, 2023 Accepting new patients

Locations

207 W Main St
Plainfield, IN 46168
Phone (317) 207-1732

Interoperability endpoints

  • Direct secure messaging: julie.lee@ogi.gwaydirect.com

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": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1609280510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W MAIN ST",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461681117",
            "telephone_number": "317-936-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W MAIN ST",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461681117",
            "telephone_number": "179-362-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JULIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05011475A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201246050",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "HAMLIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plainfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.