Individual provider Active NPI

Julie Tyus, OT

  • Occupational Therapist
  • Valdosta, GA
National Provider Identifier
1770002545
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT006832 Issued in GA
Practice address
809 N Patterson St
Valdosta, GA 31601-4528
Phone
(229) 469-6932
Fax
(229) 469-6933
NPI assigned
Sep 13, 2017
Last updated
Sep 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT006832 GA Primary

Addresses

Primary practice location

809 N Patterson St
Valdosta, GA 31601-4528

Mailing address

809 N Patterson St
Valdosta, GA 31601-4528
Phone (229) 469-6932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190329000557 GA Practitioner - Occupational Therapist in Private Practice 8729328786 Reassigns benefits to 1 organization
Practice locations: Valdosta, GA

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amerimed TherapyGroup PAC ID 0244541456, 3 clinicians

Practice addresses (Care Compare)

809 N Patterson St
Valdosta, GA 31601-4528
Phone (229) 469-6932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amerimed Therapy CurrentSince Feb 20, 2019 Accepting new patients

Locations

3322 Greystone Way
Ste B
Valdosta, GA 31605
Phone (229) 247-3335

809 N Patterson St
Valdosta, GA 31601
Phone (229) 469-6932

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1770002545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 N PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316014528",
            "telephone_number": "229-469-6932",
            "fax_number": "229-469-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316014528",
            "telephone_number": "229-469-6932",
            "fax_number": "229-469-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYUS",
        "first_name": "JULIE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.