Active NPI
Julie Christine Watkins, PT, DPT, OCS, ATC
- Physical Therapist
- Creve Coeur, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2004027809
- 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, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2001013160 | MO | MD | Rehabilitation Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Junction Bracing & PT LLC | Physical Therapist | Current | Accepting new patients |
| Junction Bracing & PT | Physical Therapist | Current | Accepting new patients |
| Jefferson County Rehabilitation | Past | 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.
-
- Physical Therapy Clinic/Center
- Festus, MO
- NPI 1154445369
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.