Julie Ballard, DPT
Individual provider Active NPI Physical Therapist · Burton, MI
NPI 1649898487 · NPPES record last updated Nov 17, 2021
Key facts
- NPI
- 1649898487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501019575 (MI)
- Practice address
- 1096 S Belsay Rd Ste G
Burton, MI 48509-1948 - Phone
- (810) 743-1611
- Fax
- (810) 743-2930
- NPI assigned
- Jul 8, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Henry Ford Medical Group Genesys
Practice addresses (Care Compare)
1096 S Belsay Rd
Suite G
Burton, MI 48509-1948
Phone (810) 743-1611
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200810002012 | MI | Practitioner - Physical Therapist in Private Practice | 6901221894 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Medical Group Genesys | Physical Therapist | Current |
Accepting new patients |
| Henry Ford Medical Group Genesys | Current | Accepting new patients | |
| Genesys Integrated Group Practice PC | Past | Accepting new patients |
Locations
2184 S Ballenger Hwy
Flint, MI 48503
Phone (810) 232-5627
1096 S Belsay Rd
Ste G
Flint, MI 48509
Phone (810) 743-1611
10785 S Saginaw St
Ste D
Grand Blanc, MI 48439
Phone (810) 695-6337
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501019575 | MI | Yes |
Addresses
Primary practice location
1096 S Belsay Rd Ste G
Burton, MI 48509-1948
Mailing address
1096 S Belsay Rd Ste G
Burton, MI 48509-1948
Phone (810) 743-1611
Other providers in Burton, MI
- Kavitha Baddam
- Jennifer Lynn Bailey
- Katrina Lee Bailey
- Trisha Deann Baker
- Hannah Maelynn Baldwin
- Bansi LLC
- Ranim Baroudi
- Kristin Ann Bartes
- Krystal Marie Bartes
- Bayan Basata
All providers in Burton, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.