| Julie Lively, PT, DPT | |
|
1241 Pt Mallard Pkwy Ste 201, Decatur, AL 35601-6555 | |
| (256) 350-9750 | |
| (256) 350-9751 |
| Full Name | Julie Lively |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1241 Pt Mallard Pkwy Ste 201, Decatur, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225429616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PTH7303 (Alabama) | Primary |
| Provider Name | Agilitas Usa Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20130723000589 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Lively, PT, DPT Po Box 306393, Nashville, TN 37230-6393 Ph: (615) 373-1350 | Julie Lively, PT, DPT 1241 Pt Mallard Pkwy Ste 201, Decatur, AL 35601-6555 Ph: (256) 350-9750 |
Lesley W. Smothers, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 216 Johnston St Se, Decatur, AL 35601 Phone: 256-686-2212 Fax: 256-686-3470 | |
Mrs. Robin D Irwin, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 922 6th Ave Se, Suite A, Decatur, AL 35601 Phone: 256-309-0454 Fax: 256-309-0422 | |
Pia Karisma Nebres, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1218 13th Ave Se, Decatur, AL 35601 Phone: 256-351-5015 | |
Robert Blake Thomas, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1111 Knight St Se, Decatur, AL 35601 Phone: 256-973-1552 Fax: 256-973-1553 | |
Dr. Morgan Taylor Blake, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1111 Knight St Se, Decatur, AL 35601 Phone: 256-973-1552 | |
Sara S Dorr, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1241 Pt Mallard Pkwy, Suite 201, Decatur, AL 35601 Phone: 256-350-9750 Fax: 256-350-9751 | |
Shawna Marie Cadarette, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1218 13th Ave Se, Decatur, AL 35601 Phone: 256-351-5015 Fax: 256-351-5016 |