Individual provider Active NPI

Julie Christine Watkins, PT, DPT, OCS, ATC

  • Physical Therapist
  • Creve Coeur, MO
National Provider Identifier
1114012515
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2004027809 Issued in MO
Practice address
605 Old Ballas Rd Ste 128
Creve Coeur, MO 63141-7070
Phone
(314) 801-8776
Fax
(314) 801-8775
NPI assigned
Oct 3, 2006
Last updated
May 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2004027809 MO Primary
Rehabilitation Practitioner 225400000X 2001013160 MO

Addresses

Primary practice location

605 Old Ballas Rd Ste 128
Creve Coeur, MO 63141-7070

Mailing address

4537 Brighton CT
High Ridge, MO 63049-3239
Phone (314) 265-0033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050811000327 MO Practitioner - Physical Therapist in Private Practice 2264461086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Washington University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Junction Bracing and PTGroup PAC ID 8729405238, 2 clinicians

Practice addresses (Care Compare)

12101 Woodcrest Executive Dr
Suite 100
Saint Louis, MO 63141-5047
Phone (314) 801-8776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2001013160MOMDRehabilitation Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Junction Bracing & PT LLC Physical Therapist CurrentSince May 16, 2022 Accepting new patients
Junction Bracing & PT Physical Therapist CurrentSince May 21, 2020 Accepting new patients
Jefferson County Rehabilitation PastSince Jul 1, 2005 Accepting new patients

Locations

224 S Woods Mill Rd
Ste 610S
Chesterfield, MO 63017
Phone (636) 685-7795

12101 Woodcrest Executive Dr
Ste 100
Saint Louis, MO 63141
Phone (314) 801-8776

605 Old Ballas Rd
Ste 128
Saint Louis, MO 63141
Phone (314) 801-8776

Organizations & group practices 3

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1114012515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4537 BRIGHTON CT",
            "city": "HIGH RIDGE",
            "state": "MO",
            "postal_code": "630493239",
            "telephone_number": "314-265-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 OLD BALLAS RD STE 128",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417070",
            "telephone_number": "314-801-8776",
            "fax_number": "314-801-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "JULIE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-05-09",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2004027809",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "MO",
            "license": "2001013160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.