Julia Hunt Berkau, PT

Individual provider Active NPI Physical Therapist · Lake Wales, FL

NPI 1932876141 · NPPES record last updated Aug 25, 2021

Key facts

NPI
1932876141
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
20229 (FL)
Practice address
425 S 11TH St Ste 3
Lake Wales, FL 33853-4239
Phone
(863) 676-0174
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
20229FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Polk South Inc Past
since Aug 29, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20229 FL Yes

Addresses

Primary practice location

425 S 11TH St Ste 3
Lake Wales, FL 33853-4239

Mailing address

425 S 11TH St Ste 3
Lake Wales, FL 33853-4239
Phone (863) 676-0174

Other providers in Lake Wales, FL

All providers in Lake Wales, FL · Physical Therapist in Florida

Sources for this page

Verify at the official NPI Registry.