Provider Demographics
NPI:1497753420
Name:BRAUNING, JULIE Z (PT)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:Z
Last Name:BRAUNING
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:L
Other - Last Name:ZIEGELMEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:PO BOX 6570
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85385-6570
Mailing Address - Country:US
Mailing Address - Phone:623-398-8072
Mailing Address - Fax:623-398-8235
Practice Address - Street 1:805 N DOBSON RD
Practice Address - Street 2:SUITE 105
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-7660
Practice Address - Country:US
Practice Address - Phone:480-222-0655
Practice Address - Fax:480-222-1457
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT08102225100000X
AZ8065225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00288372OtherMEDICARE RAILROAD
OH9342337OtherPHCS
OH000000328338OtherANTHEM
OH2506943Medicaid
OH0225920002Medicare NSC
OHP00288372OtherMEDICARE RAILROAD
OH2506943Medicaid