Individual provider Active NPI

Julie Orsi Reynolds-Gillespie, P.T.

  • Orthopedic Physical Therapist
  • Redondo Beach, CA
National Provider Identifier
1114044674
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
I4760 Issued in CA
Practice address
312 S Catalina Ave Ste E
Redondo Beach, CA 90277-3622
Phone
(424) 353-9791
NPI assigned
Mar 22, 2007
Last updated
Jun 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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 PT14760 CA
Orthopedic Physical Therapist 2251X0800X I4760 CA Primary

Addresses

Primary practice location

312 S Catalina Ave Ste E
Redondo Beach, CA 90277-3622

Mailing address

312 S Catalina Ave Ste E
Redondo Beach, CA 90277-3622
Phone (424) 353-9791

Other names 1

  • Julie Orsi Reynolds Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080215000282 CA Practitioner - Physical Therapist in Private Practice 2062595945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select CS Physical Therapy PCGroup PAC ID 1355742081, 177 clinicians

Practice addresses (Care Compare)

507 Wilshire Blvd
Suite 101
Santa Monica, CA 90401-1480
Phone (310) 828-2188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14760CAMDProfessional Counselor
PT14760CAMDPhysical Therapist
I4760CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select CS Physical Therapy, P.C. CurrentSince Apr 24, 2023 Accepting new patients
Rehab Specialists, Inc Physical Therapist CurrentSince Jan 26, 2018 Accepting new patients
Select CS Physical Therapy, P.C. CurrentSince Apr 24, 2023 Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist Current Accepting new patients
Adi Rehab, Incorporated Physical Therapist PastSince Nov 24, 2019 Accepting new patients
Fusion Physical Therapy Inc Physical Therapist PastSince Jan 1, 2019 Accepting new patients
Cypress Physical Therapy Center, Inc. Physical Therapist PastSince Sep 24, 2023 Accepting new patients

Locations

507 Wilshire Blvd
Ste 101
Santa Monica, CA 90401
Phone (310) 828-2188

2730 Wilshire Blvd
Ste 533
Santa Monica, CA 90403
Phone (310) 273-0870

2001 Wilshire Blvd
Ste 310
Santa Monica, CA 90403
Phone (310) 829-3320

10635 Santa Monica Blvd
Ste 165
West Los Angeles, CA 90025
Phone 3102730877143

Organizations & group practices 7

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1114044674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 S CATALINA AVE STE E",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773622",
            "telephone_number": "424-353-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S CATALINA AVE STE E",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773622",
            "telephone_number": "424-353-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS-GILLESPIE",
        "first_name": "JULIE",
        "middle_name": "ORSI",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT14760",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "I4760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "REYNOLDS",
            "middle_name": "ORSI",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.