Active NPI
Julie Wise, MPT DPT
- Physical Therapist
- Dickson City, PA
National Provider Identifier
1912035908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015031
- Practice address
- 542 Boulevard Ave
Dickson City, PA 18519-1750 - Phone
- (570) 489-5010
- Fax
- (570) 489-5060
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT015031 | PA | Primary |
Addresses
Primary practice location
542 Boulevard Ave
Dickson City, PA 18519-1750
Mailing address
RR 1 Box 140C
Towanda, PA 18848-9787
Phone (570) 265-7688
Other names 1
- Ms. Julie Arnott
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT015031 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procare Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Towanda, PA
- NPI 1003876319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214870400000",
"number": "1912035908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 1 BOX 140C",
"city": "TOWANDA",
"state": "PA",
"postal_code": "188489787",
"telephone_number": "570-265-7688",
"fax_number": "570-265-7422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "542 BOULEVARD AVE",
"city": "DICKSON CITY",
"state": "PA",
"postal_code": "185191750",
"telephone_number": "570-489-5010",
"fax_number": "570-489-5060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE",
"first_name": "JULIE",
"name_prefix": "Mrs.",
"credential": "MPT DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2008-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT015031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "ARNOTT",
"prefix": "MS.",
"credential": "MPT DPT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Dickson City, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.