| Ms Julia Icenogle, MOT, OTR/L | |
|
7315 212th St Sw Ste 104, Edmonds, WA 98026-7610 | |
| (425) 774-3226 | |
| (425) 670-1406 |
| Full Name | Ms Julia Icenogle |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Hand |
| Location | 7315 212th St Sw Ste 104, Edmonds, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437571890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT 60399402 (Washington) | Secondary |
| 225XH1200X | Occupational Therapist - Hand | 312111 (Oregon) | Primary |
| Provider Name | King County Public Hospital District No 2 |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801986070 PECOS PAC ID: 7618880097 Enrollment ID: O20031111000557 |
| Provider Name | South Sound Physical & Hand Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548217631 PECOS PAC ID: 6709774631 Enrollment ID: O20040310000846 |
| Provider Name | Snohomish Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487692398 PECOS PAC ID: 3476547100 Enrollment ID: O20040414000418 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Julia Icenogle, MOT, OTR/L 4220 132nd St Se Ste 101, Mill Creek, WA 98012-8999 Ph: (425) 316-8046 | Ms Julia Icenogle, MOT, OTR/L 7315 212th St Sw Ste 104, Edmonds, WA 98026-7610 Ph: (425) 774-3226 |
Jitka Fiala Terry, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 21008 76th Ave W, Edmonds, WA 98026 Phone: 425-778-0107 | |
Integrated Rehab Group Limited Partnership Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7907 212th St Sw, #219, Edmonds, WA 98026 Phone: 425-673-2673 Fax: 425-673-2863 | |
Mr. Bradley John Gray, MOTRL, CHT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7320 216th St Sw Ste 320, Edmonds, WA 98026 Phone: 425-673-3916 Fax: 425-673-3926 | |
Karen Gorman Davis, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8500 200th St Sw, Edmonds, WA 98026 Phone: 425-431-3048 | |
Victor Frank Solley, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 21008 76th Ave W, Edmonds, WA 98026 Phone: 425-778-0107 | |
Karen Sziel Otr/l, Cht, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 144 Railroad Ave Ste 310, Edmonds, WA 98020 Phone: 206-200-0330 | |
Mr. Sandra Tissell, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 21400 72nd Ave W, Edmonds, WA 98026 Phone: 425-775-1961 |