Julie A Wittum, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-02349 Issued in KS

Practice address

122 S Neosho
Cherryvale, KS 67335

Phone

(620) 325-2253

NPI assigned

Aug 5, 2013

Last updated

Jan 13, 2014By the provider in NPPES

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

Enrolled in KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Promotion Physical Therapy

  • Physical Therapy Clinic/Center
  • Cherryvale, KS
  • NPI 1508289323

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1649602376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5090 OAK TREE LN",
            "city": "NEODESHA",
            "state": "KS",
            "postal_code": "667571624",
            "telephone_number": "620-305-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S NEOSHO",
            "city": "CHERRYVALE",
            "state": "KS",
            "postal_code": "67335",
            "telephone_number": "620-325-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTUM",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-02349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Three Amigos Apothecary LLC (Cherryvale Pharmacy)
• Three Amigos Apothecary LLC (Cherryvale Pharmacy)
• Jessica Tryon-Koehler
• Usd 447 Cherryvale
• Wilson County Hospital (Cherryvale Family Medicine)

• Physical Therapist in Cherryvale, KS
• Providers in Cherryvale, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.