JULIA MARIE SYMBOL
NPI 1225869233
Physical Therapist - Orthopedic in Portland, ME
NPI Status: Active since August 12, 2024
- Individual
- Female
- Years of Experience 2
- Physical Therapist
- Orthopedic
- Accepts Insurance
- Accepts Medicare Approved Payment
About JULIA SYMBOL
This page provides the complete NPI Profile along with additional information for Julia Symbol, a provider established in Portland, Maine with a medical specialization in Physical Therapist, focusing in orthopedic and more than 2 years of experience. The healthcare provider is registered in the NPI registry with number 1225869233 assigned on August 2024. The practitioner's primary taxonomy code is 2251X0800X with license number PT6916 (ME). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1225869233
- Provider Name
- JULIA MARIE SYMBOL
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 561 CONGRESS ST PORTLAND, ME 04101
- Location Phone
- (207) 536-4968
- Mailing Address
- 461 METHODIST RD WESTBROOK, ME 04092
- Medical School Name
- OTHER
- Graduation Year
- 2024
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-12-2024
- Last Update Date
- 08-12-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Orthopedic
- Taxonomy Code
- 2251X0800X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- PT6916
- License State
- ME
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Julia Symbol is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 1355872524
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240930002594
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Reviews for JULIA MARIE SYMBOL
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 2 | 5 | 8 | 6 | 9 | 2 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 4 | 5 | 16 | 6 | 18 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 4 + 5 + 1 + 6 + 6 + 1 + 8 + 2 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1225869233 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1770996415 | JULIE CATHERINE PETTIT-LANE DPT Individual | Physical Therapist | 561 CONGRESS ST PORTLAND, ME 04101 (207) 536-4968 |
| 1366756843 | DR. LLOYD F BECKETT DPT, ATC Individual | Physical Therapist | 561 CONGRESS ST PORTLAND, ME 04101 (207) 536-4968 |
| 1992295513 | DIRIGO PHYSICAL THERAPY AND PERFORMANCE Organization | Clinic/Center (Physical Therapy) | 561 CONGRESS ST PORTLAND, ME 04101 (207) 536-4968 |
| 1851639298 | MRS. SHANNON KELLIE MCPHERSON DPT Individual | Physical Therapist | 561 CONGRESS ST PORTLAND, ME 04101 (207) 536-4968 |
| 1417507179 | DR. MALLORY MICHELLE GOODRICH DPT Individual | Physical Therapist | 561 CONGRESS ST PORTLAND, ME 04101 (207) 536-4968 |
| 1033832886 | DR. ELIZABETH GOODRICH DPT Individual | Physical Therapist | 561 CONGRESS ST PORTLAND, ME 04101 (207) 536-4968 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225869233, enumerated in the NPI registry as an "individual" on August 12, 2024
The provider is located at 561 Congress St Portland, Me 04101 and the phone number is (207) 536-4968
The provider's speciality is Physical Therapist with taxonomy code 2251X0800X with a focus in Orthopedic
The provider has more than 2 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 12, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.