JULIE ANN PETRUSHAK
NPI 1013401629
Day Training, Developmentally Disabled Services in Crestview, FL

Q: What is Julie Petrushak's NPI number?

The NPI number for Julie Petrushak is 1013401629. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Q: What is Julie Petrushak's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

Q: When was this NPI record last updated?

The NPPES record for Julie Petrushak was last updated on June 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 18, 2018

2876 LAKE SILVER RD, CRESTVIEW, FL 32536(850) 902-7624 Get Directions Write a Review

NPPES record last updated: June 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Julie Ann Petrushak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULIE ANN PETRUSHAK (NPI 1013401629) is an individual day training, developmentally disabled services provider in Crestview, Florida and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1013401629

Entity TypeIndividualFemale

Primary Taxonomy251C00000X

Provider Legal NameJULIE ANN PETRUSHAK

Location Address2876 LAKE SILVER RDCrestview, FL 32536-7161

Mailing Address2876 Lake Silver RdCrestview, FL 32536-7161 · (850) 902-7624

Phone(850) 902-7624

Sole ProprietorYes

Enumeration DateJune 18, 2018

✔ NPI 1013401629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies

Taxonomy Code251C00000X

Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

2876 LAKE SILVER RD, Crestview, FL 32536

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Julie Petrushak's NPI number?

The NPI number for Julie Petrushak is 1013401629. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Where is Julie Petrushak located?

Julie Petrushak practices at 2876 Lake Silver Rd, Crestview, FL 32536. The listed phone number is (850) 902-7624.

What is Julie Petrushak's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Julie Petrushak was last updated on June 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.