Active NPI
Julie McGinnis
- Physical Therapist
- Saint Charles, MO
National Provider Identifier
1104152461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2006001327
- Practice address
- 22 Portwest CT
Saint Charles, MO 63303-5985 - Phone
- (636) 916-0022
- Fax
- (636) 916-0023
- NPI assigned
- Oct 21, 2009
- Last updated
- Oct 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 2006001327 | MO | Primary |
Addresses
Primary practice location
22 Portwest CT
Saint Charles, MO 63303-5985
Mailing address
22 Portwest CT
Saint Charles, MO 63303-5985
Phone (636) 916-0022
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2006001327 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four Roses LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256083200000",
"number": "1104152461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 PORTWEST CT",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633035985",
"telephone_number": "636-916-0022",
"fax_number": "636-916-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 PORTWEST CT",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633035985",
"telephone_number": "636-916-0022",
"fax_number": "636-916-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGINNIS",
"first_name": "JULIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-21",
"last_updated": "2009-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2006001327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.