Individual provider Active NPI

Julia Olivia Jusko, OTR/L

  • Pediatric Occupational Therapist
  • Scottsdale, AZ
National Provider Identifier
1124530472
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
7208 Issued in AZ
Practice address
5707 E Thunderbird Rd
Scottsdale, AZ 85254-3743
Phone
(602) 708-9234
NPI assigned
Oct 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Pediatric Occupational Therapist 225XP0200X 7208 AZ Primary

Addresses

Primary practice location

5707 E Thunderbird Rd
Scottsdale, AZ 85254-3743

Mailing address

3232 E Silverwood Dr
Phoenix, AZ 85048-7260
Phone (480) 250-5559

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190619002475 AZ Practitioner - Occupational Therapist in Private Practice 5294069670 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7208AZMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wheels on the Bus, Inc. CurrentSince Mar 23, 2019 Accepting new patients

Locations

11811 N Tatum Blvd
Ste 3031
Phoenix, AZ 85028
Phone (480) 589-2890

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1124530472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 E SILVERWOOD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487260",
            "telephone_number": "480-250-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5707 E THUNDERBIRD RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543743",
            "telephone_number": "602-708-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSKO",
        "first_name": "JULIA",
        "middle_name": "OLIVIA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AZ",
            "license": "7208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.