Julie Clark, PHYSICAL THERAPIST
NPI 1679599229ActiveIndividual· Physical Therapist· Stratford, CT
Physical Therapist (PHYSICAL THERAPIST) with Agewell Rehab Services PLLC, practicing in Stratford, Connecticut. Medicare paid $15,252 for services to 21 patients in 2024.
Overview
| NPI | 1679599229 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICAL THERAPIST |
| Sole proprietor | No |
| NPI issued | Jul 15, 2006 |
| Last updated in NPPES | Nov 3, 2024 |
| Certified by provider | Nov 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 006162 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 21 |
|---|---|
| Services billed | 726 across 7 procedure codes |
| Paid by Medicare | $15,252 |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Agewell Rehab Services PLLCStratford, CT · 3 clinicians
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