Individual provider Active NPI

Julie Jones, OTR/L

  • Occupational Therapist
  • Folsom, CA
National Provider Identifier
1083416952
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
27239 Issued in CA
Practice address
555 Oakdale St Ste F
Folsom, CA 95630-2451
Phone
(916) 293-5520
NPI assigned
Mar 24, 2025
Reactivated
Jun 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 27239 CA Primary

Addresses

Primary practice location

555 Oakdale St Ste F
Folsom, CA 95630-2451

Mailing address

101 Cobb CT
Folsom, CA 95630-2284
Phone (916) 293-5520

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27239CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Bright Pediatric Occupational Therapy PC Occupational Therapist CurrentSince Apr 20, 2025 Accepting new patients
Shine Bright Pediatric Occupational Therapy LLC Occupational Therapist CurrentSince Apr 13, 2025 Accepting new patients

Locations

555 Oakdale St
Ste F
Folsom, CA 95630
Phone (916) 293-5520

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1083416952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COBB CT",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302284",
            "telephone_number": "916-293-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 OAKDALE ST STE F",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302451",
            "telephone_number": "916-293-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JULIE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-06-19",
        "certification_date": "2025-03-24",
        "deactivation_date": "2025-03-27",
        "reactivation_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "27239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.