Individual provider Active NPI

Juliette Austin, DPT

  • Physical Therapist
  • Newbury Park, CA
National Provider Identifier
1083459556
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
305659 Issued in CA
Practice address
177 N Reino Rd
Newbury Park, CA 91320-3710
Phone
(805) 765-4773
Fax
(805) 392-9975
NPI assigned
Jun 27, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 305659 CA Primary

Addresses

Primary practice location

177 N Reino Rd
Newbury Park, CA 91320-3710

Mailing address

704 Rustic Hills Dr
Simi Valley, CA 93065-8222
Phone (805) 657-9801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240819003546 CA Practitioner - Physical Therapist in Private Practice 7113465386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Two Trees Physical Therapy and Wellness IncGroup PAC ID 5597915603, 58 clinicians

Practice addresses (Care Compare)

177 N Reino Rd
Newbury Park, CA 91320-3710
Phone (805) 765-4773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Two Trees Physical Therapy & Wellness Inc Physical Therapist CurrentSince Jul 11, 2024 Accepting new patients
Two Trees Physical Therapy & Wellness Inc Physical Therapist CurrentSince Jul 11, 2024 Accepting new patients

Locations

321 N Larchmont Blvd
Ste 825
Los Angeles, CA 90004
Phone (323) 464-4458

177 N Reino Rd
Newbury Park, CA 91320
Phone (805) 586-0290

3418 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 642-8565

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": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1083459556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 RUSTIC HILLS DR",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930658222",
            "telephone_number": "805-657-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 N REINO RD",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203710",
            "telephone_number": "805-765-4773",
            "fax_number": "805-392-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "JULIETTE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.