Active NPI
Julie A Berridge, PT CHT
- Hand Physical Therapist
- Houston, TX
National Provider Identifier
1093833055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Physical Therapist
- License
- 9911000219
- Practice address
- 17270 Red Oak Dr
Suite 200
Houston, TX 77090-2618 - Phone
- (281) 440-6960
- Fax
- (281) 440-6205
- NPI assigned
- Mar 27, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4346 | OR | |
| Hand Physical Therapist | 2251H1200X | 9911000219 | OR | Primary |
Addresses
Primary practice location
17270 Red Oak Dr
Suite 200
Houston, TX 77090-2618
Mailing address
P.O. Box 4356
Dept. 665
Houston, TX 77210-4356
Phone (281) 440-6960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1088466 | Other | TX | LICENSE |
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 |
|---|---|---|---|
| 9911000219 | OR | MD | Hand Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429142400000",
"number": "1093833055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 4356",
"address_2": "DEPT. 665",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772104356",
"telephone_number": "281-440-6960",
"fax_number": "280-440-6205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17270 RED OAK DR",
"address_2": "SUITE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770902618",
"telephone_number": "281-440-6960",
"fax_number": "281-440-6205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRIDGE",
"first_name": "JULIE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "PT CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2015-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "4346",
"primary": false
},
{
"code": "2251H1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Hand",
"state": "OR",
"license": "9911000219",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "1088466",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.