Miss Julie Clark, PHYSICAL THERAPIST in Stratford, CT - Medicare Physical Therapist Provider

Miss Julie Clark, PHYSICAL THERAPIST is a medicare enrolled "Physical Therapist" provider in Stratford, Connecticut. Her current practice location is 1111 Stratford Ave Apt 319, Stratford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (475) 473-9955.

Miss Julie Clark is licensed to practice in Connecticut (license number 006162) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679599229.

Contact Information

	Miss Julie Clark, PHYSICAL THERAPIST
	1111 Stratford Ave Apt 319, Stratford, CT 06615-6379
	(475) 473-9955
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Julie Clark
Gender	Female
Speciality	Physical Therapist
Location	1111 Stratford Ave Apt 319, Stratford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679599229
Provider Enumeration Date: 07/15/2006
Last Update Date: 11/03/2024

Medicare PECOS Information:

PECOS PAC ID: 1153322441
Enrollment ID: I20070130000215

Medical Identifiers

Medical identifiers for Miss Julie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679599229	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	006162 (Connecticut)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Miss Julie Clark allows following entities to bill medicare on her behalf.

Provider Name	Agewell Rehab Services Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1033989116 PECOS PAC ID: 1850735226 Enrollment ID: O20240214001452

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Julie Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Miss Julie Clark, PHYSICAL THERAPIST 318 New Haven Ave, Milford, CT 06460-6661 Ph: (203) 874-0500	Miss Julie Clark, PHYSICAL THERAPIST 1111 Stratford Ave Apt 319, Stratford, CT 06615-6379 Ph: (475) 473-9955

Reviews and Comments

Physical Therapist in Stratford, CT

Kathleen Porto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2900 Main St, Suite 1d, Stratford, CT 06614 Phone: 203-378-0092 Fax: 203-375-4540
Agewell Rehab Services Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1111 Stratford Ave Apt 319, Stratford, CT 06615 Phone: 786-266-4504
Whitney Russo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2900 Main St, Suite 1d, Stratford, CT 06614 Phone: 203-378-0092 Fax: 203-375-4540
William L King Iii, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2900 Main St, Suite 1d, Stratford, CT 06614 Phone: 203-378-0092 Fax: 203-375-4540
Motion Specialists Of Ct Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3000 Main St, Stratford, CT 06614 Phone: 203-683-0625
Colin Pittorie, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2900 Main St Ste 1d, Stratford, CT 06614 Phone: 203-378-0092
Miss Racine Schuring, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7003 Main St, Stratford, CT 06614 Phone: 203-375-5894

Miss Julie Clark, PHYSICAL THERAPIST - Medicare Physical Therapist in Stratford, CT