Julianne Tice, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT023601 Issued in PA

Practice address

1809 W Oregon Ave
Philadelphia, PA 19145-3700

Phone

(215) 467-1800

NPI assigned

Jun 13, 2014

Last updated

Jun 13, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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 PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inhometherapy IncGroup PAC ID 3971041450, 22 clinicians

Age Well Physical TherapyGroup PAC ID 4789967647, 7 clinicians

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.

• Age Well Physical Therapy

  • Specialist
  • Dresher, PA
  • NPI 1437602554

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Inhometherapy Inc

  • Physical Therapist
  • King of Prussia, PA
  • NPI 1811736069
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1790199123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 N 4TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191224414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 W OREGON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191453700",
            "telephone_number": "215-467-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICE",
        "first_name": "JULIANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Patrick Tibbetts, D.M.D
• Kathleen Margaret Tibbetts, M.D.
• Phyllis Tiberio
• Alanna Marie Ticali
• Corrie Ann Tice
• Erin Ticehurst, PHARM.D.
• Anna Tichtchenko
• Tidal Wave Recovery Center LLC
• Jerica Tidwell
• Taliah S Tidwell, OT

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

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