Active NPI
Julia Messner
- Physical Therapist
- Duvall, WA
National Provider Identifier
1205595014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT61159944
- Practice address
- 15315 1St Ave NE
Duvall, WA 98019-5004 - Phone
- (425) 788-0505
- Fax
- (425) 788-3340
- NPI assigned
- Dec 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT61159944 | WA | Primary |
Addresses
Primary practice location
15315 1St Ave NE
Duvall, WA 98019-5004
Mailing address
26837 Maple Valley Black Diamond Rd SE Ste 200
Maple Valley, WA 98038-9917
Phone (425) 413-4427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT61159944 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Medical Massage & Bodywork LLC | Past | Accepting new patients |
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.
-
- Specialist
- Duvall, WA
- NPI 1215470281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639008000000",
"number": "1205595014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26837 MAPLE VALLEY BLACK DIAMOND RD SE STE 200",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980389917",
"telephone_number": "425-413-4427",
"fax_number": "425-413-4402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15315 1ST AVE NE",
"city": "DUVALL",
"state": "WA",
"postal_code": "980195004",
"telephone_number": "425-788-0505",
"fax_number": "425-788-3340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSNER",
"first_name": "JULIA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-09",
"last_updated": "2021-12-09",
"certification_date": "2021-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT61159944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duvall, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.