Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Julie Clark, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1679599229

Miss. Julie Clark, PHYSICALTHERAPIST is a Physical Therapist in Private Practice in Stratford, Connecticut. Qualified in 1998, 28 years ago. Practices with Agewell Rehab Services PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
28
Licensed in
CT
In the registry since
2006
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Practice location Address checks out

1111 Stratford Ave Apt 319
Stratford, CT 06615-6379
Phone: (475) 473-9955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 006162 (CT)

Record details

NPI number1679599229
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedJuly 15, 2006
Last updated in NPPESNovember 3, 2024
Certification dateNovember 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Agewell Rehab Services Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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