Individual provider Active NPI

Kearns Julien, DPT

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1245648849
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
035707 Issued in NY
Practice address
3850 Hudson Manor Terrace
1Ae
Bronx, NY 10463-1117
Phone
(347) 267-8156
Fax
(347) 905-4650
NPI assigned
Jul 27, 2014
Last updated
Jan 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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 035707 NY Primary

Addresses

Primary practice location

3850 Hudson Manor Terrace
1Ae
Bronx, NY 10463-1117

Mailing address

3850 Hudson Manor Terrace
1Ae
Bronx, NY 10463-1117
Phone (347) 267-8156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140930002238 NY Practitioner - Physical Therapist in Private Practice 3870713530 Practice locations: Bronx, NY
I20200319001013 CT Practitioner - Physical Therapist in Private Practice 3870713530 Practice locations: Bethel, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
035707NYMDGeneral Practice Dentistry
12016CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Extend Rehab LLC Physical Therapist PastSince Aug 7, 2018 Accepting new patients
Genesis Medical Health PC Past Accepting new patients
Extend Rehab LLC Physical Therapist PastSince Apr 9, 2019 Accepting new patients

Organizations & group practices 4

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": "1406419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1245648849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 HUDSON MANOR TERRACE",
            "address_2": "1AE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631117",
            "telephone_number": "347-267-8156",
            "fax_number": "347-905-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 HUDSON MANOR TERRACE",
            "address_2": "1AE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631117",
            "telephone_number": "347-267-8156",
            "fax_number": "347-905-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIEN",
        "first_name": "KEARNS",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-27",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.