Active NPI
Julie Olsen, PTA
- Physical Therapy Assistant
- Marinette, WI
National Provider Identifier
1992887830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 38919
- Practice address
- 3117 Shore Drive
Suite 101
Marinette, WI 54143 - Phone
- (715) 732-5111
- Fax
- (715) 732-0628
- NPI assigned
- Oct 19, 2006
- 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 Therapy Assistant | 225200000X | 38919 | WI | Primary |
Addresses
Primary practice location
3117 Shore Drive
Suite 101
Marinette, WI 54143
Mailing address
3100 Shore Drive
Marinette, WI 54143
Phone (715) 732-5111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40391600 | Medicaid | WI |
Other names 1
- Ms. Julie Rajala
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 |
|---|---|---|---|
| 38919 | WI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392940800000",
"number": "1992887830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SHORE DRIVE",
"city": "MARINETTE",
"state": "WI",
"postal_code": "54143",
"telephone_number": "715-732-5111",
"fax_number": "715-732-0628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3117 SHORE DRIVE",
"address_2": "SUITE 101",
"city": "MARINETTE",
"state": "WI",
"postal_code": "54143",
"telephone_number": "715-732-5111",
"fax_number": "715-732-0628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "JULIE",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2014-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "38919",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40391600",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "RAJALA",
"prefix": "MS.",
"credential": "PTA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Marinette, WI
- Tonya Kristin Obita, MD
- Oconto Hospital & Medical Center Inc
- Oconto Hospital & Medical Center, Inc.
- Oconto Hospital & Medical Center, Inc.
- Oconto Hospital & Medical Center, Inc.
- Ashley L Olson, MS, OT
- Erin Elizabeth Olson, R.N.
- Jean-Lucien Omekanda, M.D.
- James W Opoien, MD PHD
- Barbara Joan Orear, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.