Provider Demographics
NPI:1851359376
Name:BULATOWICZ, JULIA A (PT)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:A
Last Name:BULATOWICZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:JULIA
Other - Middle Name:A
Other - Last Name:HOSTETTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:600 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53792-2424
Mailing Address - Country:US
Mailing Address - Phone:608-263-8060
Mailing Address - Fax:608-262-7679
Practice Address - Street 1:600 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53792-2424
Practice Address - Country:US
Practice Address - Phone:608-263-8060
Practice Address - Fax:608-262-7679
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ21297ZOtherMEDICARE GROUP PTAN
CAZZZ21296ZOtherMEDICARE GROUP PTAN
CAAX812XOtherMEDICARE INDIVIDUAL PTAN LINKED TO DT
CAAX812YOtherMEDICARE PTAN
CAP00662183OtherRAILROAD MEDICARE PTAN
CAZZZ21295ZOtherMEDICARE GROUP PTAN
CAOPT323631Medicare PIN
CAP00662183OtherRAILROAD MEDICARE PTAN