Individual provider Active NPI

Julie K Marley, PT

  • Physical Therapist
  • Newark, DE
National Provider Identifier
1790739829
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J10000743 Issued in DE
Practice address
1101 Twin C LN
Suite 203
Newark, DE 19713-2157
Phone
(302) 633-1280
Fax
(302) 633-1284
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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 J10000743 DE Primary

Addresses

Primary practice location

1101 Twin C LN
Suite 203
Newark, DE 19713-2157

Mailing address

1101 Twin C LN
Suite 203
Newark, DE 19713-2157
Phone (302) 633-1280

Other identifiers 1

IdentifierTypeStateIssuer
490978OtherDEMEDICARE ID NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090522000070 DE Practitioner - Physical Therapist in Private Practice 4880743897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine and Orthopedic SpecialistsGroup PAC ID 6305995325, 4 clinicians

Practice addresses (Care Compare)

1101 Twin C LN
Suite 203
Newark, DE 19713-2159
Phone (302) 633-1280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J10000743DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Orthopedic Specialists Physical Therapist CurrentSince May 4, 2009 Accepting new patients
Spine and Orthopedic Specialists Physical Therapist CurrentSince May 4, 2009 Accepting new patients

Locations

119 W 3rd St
Ste 1
Lewes, DE 19958
Phone (302) 291-2587

1101 Twin C Ln
Ste 203
Newark, DE 19713
Phone (302) 633-1280

Organizations & group practices 2

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1790739829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 TWIN C LN",
            "address_2": "SUITE 203",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132157",
            "telephone_number": "302-633-1280",
            "fax_number": "302-633-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 TWIN C LN",
            "address_2": "SUITE 203",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132157",
            "telephone_number": "302-633-1280",
            "fax_number": "302-633-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLEY",
        "first_name": "JULIE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J10000743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID NUMBER",
            "identifier": "490978",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.