Active NPI
Julia M Profit, PT
- Physical Therapist
- Belton, MO
National Provider Identifier
1023540754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2017002582
- Practice address
- 924 N Scott Ave
Belton, MO 64012 - Phone
- (816) 331-9111
- Fax
- (816) 348-0492
- NPI assigned
- Mar 31, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2017002582 | MO | Primary |
Addresses
Primary practice location
924 N Scott Ave
Belton, MO 64012
Mailing address
12422 Askew St
Grandview, MO 64030-1514
Phone (816) 331-9111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017002582 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529452800000",
"number": "1023540754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12422 ASKEW ST",
"city": "GRANDVIEW",
"state": "MO",
"postal_code": "640301514",
"telephone_number": "816-331-9111",
"fax_number": "816-348-0492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "924 N SCOTT AVE",
"city": "BELTON",
"state": "MO",
"postal_code": "64012",
"telephone_number": "816-331-9111",
"fax_number": "816-348-0492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROFIT",
"first_name": "JULIA",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-31",
"last_updated": "2018-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2017002582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.