Julie Hrachovy, PT
Individual provider Active NPI Physical Therapist · Columbus, TX
NPI 1922040427 · NPPES record last updated Apr 10, 2008
Key facts
- NPI
- 1922040427
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1083616 (TX)
- Practice address
- 1024 Milam St
Columbus, TX 78934-2443 - Phone
- (979) 732-8280
- Fax
- (979) 732-9740
- NPI assigned
- Jun 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Synergy Care Southeast LLC
Practice addresses (Care Compare)
5850 E Lovers LN
Dallas, TX 75206-2902
Phone (214) 307-1288
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070123000479 | TX | Practitioner - Physical Therapist in Private Practice | 5698776367 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1083616 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Care Southeast, LLC | Physical Therapist | Current |
Accepting new patients |
| SDS Physical Therapy LP | Physical Therapist | Past | Accepting new patients |
| First Colony Rehab, LLC | Physical Therapist | Past | Accepting new patients |
| Barbara Gates Mitchem | Past | Accepting new patients |
Locations
127 W Broad St
Ste 850
Lake Charles, LA 70601
Phone (337) 310-8500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1083616 | TX | Yes |
Addresses
Primary practice location
1024 Milam St
Columbus, TX 78934-2443
Mailing address
109 Shult Dr
# 206
Columbus, TX 78934-3015
Phone (979) 732-8280
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083616 | Other | TX | TEXAS STATE LICENSE |
Other providers in Columbus, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2008. 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.