Active NPI
Julie Marie Parantala, DPT
- Physical Therapist
- Eagle River, AK
National Provider Identifier
1215329297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3115
- Practice address
- 12032 Business Blvd
Eagle River, AK 99577-7725 - Phone
- (907) 694-5515
- NPI assigned
- Feb 26, 2015
- Last updated
- Mar 17, 2018
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13214 | CO | |
| Physical Therapist | 225100000X | 4330 | HI | |
| Physical Therapist | 225100000X | 2887 | AK | |
| Physical Therapist | 225100000X | 3652 | ID | |
| Physical Therapist | 225100000X | 3115 | NV | Primary |
Addresses
Primary practice location
12032 Business Blvd
Eagle River, AK 99577-7725
Mailing address
12032 Business Blvd
Eagle River, AK 99577
Phone (907) 694-5515
Other practice location 1
5425 Louie Ln Ste B
Reno, NV 89511-1835
Phone (775) 858-1900
Other names 1
- Julie Marie Dickson
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 |
|---|---|---|---|
| 2887 | AK | MD | Physical Therapist |
| 13214 | CO | MD | Physical Therapist |
| 4330 | HI | MD | Physical Therapist |
| 3652 | ID | MD | Physical Therapist |
| 3115 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1215329297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12032 BUSINESS BLVD",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "99577",
"telephone_number": "907-694-5515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12032 BUSINESS BLVD",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777725",
"telephone_number": "907-694-5515"
}
],
"practiceLocations": [
{
"address_1": "5425 Louie Ln Ste B",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895111835",
"country_code": "US",
"telephone_number": "775-858-1900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARANTALA",
"first_name": "JULIE",
"middle_name": "MARIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-26",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "13214",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "4330",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "2887",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "3652",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "3115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "DICKSON",
"middle_name": "MARIE",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Eagle River, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.