MEDICARE: JULIE ANNE GHORMLEY DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	CP044997T	AZ
2	225100000X	Physical Therapist	P13519	NC
3	225100000X	Physical Therapist	7993	SC

General Provider Information

NPI Number	:	1295006823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE ANNE GHORMLEY DPT

Provider Business Mailing Address
First Line	:	775-2 WEST CORBETT AVENUE
Second Line	:
City	:	SWANSBORO
State	:	NC
Zip	:	28584
Country	:	US
Telephone Number	:	910-325-0580
Fax Number	:	910-325-7423

Provider Business Practice Location Address
First Line	:	2756 RICHLANDS HWY
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28540-3611
Country	:	US
Telephone Number	:	910-378-0147
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2012
Last Update Date	:	01/07/2026

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