Individual provider Active NPI

Julie Altschuler, MSPT

  • Physical Therapist
  • Menlo Park, CA
National Provider Identifier
1205050853
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
41531 Issued in CA
Practice address
68 Willow Rd
Menlo Park, CA 94025
Phone
(877) 390-6659
NPI assigned
Apr 13, 2007
Last updated
Sep 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 41531 CA Primary

Addresses

Primary practice location

68 Willow Rd
Menlo Park, CA 94025

Mailing address

68 Willow Rd
Menlo Park, CA 94025-3653
Phone (877) 390-6659

Other practice location 1

15245 Shady Grove Rd Ste C100
Montgomery Therapy, LLC
Rockville, MD 20850-3222
Phone (301) 417-2652

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160311000873 CA Practitioner - Physical Therapist in Private Practice 4880719269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shadduck - Physical Therapy Works IncGroup PAC ID 6507259538, 12 clinicians

Practice addresses (Care Compare)

794 Altos Oaks Dr
Los Altos, CA 94024-5401
Phone (650) 947-9646

Merit-based Incentive Payment System (MIPS)

Final score
98.05 of 100Reported as group
Quality
100
Improvement activities
40
Cost
93.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41531CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shadduck - Physical Therapy Works Inc Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Sep 17, 2018 Accepting new patients
Manual & Sports Physical Therapy LLC Past Accepting new patients
Montgomery Therapy & Wellness LLC Past Accepting new patients
Montgomery Therapy, LLC PastSince Jul 20, 2011 Accepting new patients

Locations

794 Altos Oaks Dr
Los Altos, CA 94024
Phone (650) 947-9646

68 Willow Rd
Menlo Park, CA 94025
Phone (650) 691-8630

Organizations & group practices 5

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1205050853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 WILLOW RD",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253653",
            "telephone_number": "877-390-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 WILLOW RD",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "94025",
            "telephone_number": "877-390-6659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15245 Shady Grove Rd Ste C100",
            "address_2": "Montgomery Therapy, LLC",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208503222",
            "country_code": "US",
            "telephone_number": "301-417-2652",
            "fax_number": "301-417-2653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTSCHULER",
        "first_name": "JULIE",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.