Individual provider Active NPI

Juliann Denton

  • Occupational Therapist
  • Dodge City, KS
National Provider Identifier
1245668136
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17-02825 Issued in KS
Practice address
1909 N 14TH Ave Ste C
Dodge City, KS 67801-2365
Phone
(620) 338-8633
NPI assigned
Oct 31, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 17-02825 KS Primary

Addresses

Primary practice location

1909 N 14TH Ave Ste C
Dodge City, KS 67801-2365

Mailing address

2500 Military Ave
Dodge City, KS 67801-7015
Phone (620) 255-2990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210204002824 KS Practitioner - Occupational Therapist in Private Practice 4880008788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Physical Therapy and Sports Performance LLCGroup PAC ID 6406229095, 4 clinicians

Practice addresses (Care Compare)

1909 N 14TH Ave
Suite C PT Works
Dodge City, KS 67801-2365
Phone (620) 338-8633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17-02825KSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy and Sports Performance, LLC CurrentSince Jul 1, 2024 Accepting new patients
Dodge City Diagnostic, LLC PastSince Feb 1, 2021 Accepting new patients

Locations

1909 N 14th Ave
Ste C
Dodge City, KS 67801
Phone (620) 338-8633

Organizations & group practices 2

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": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1245668136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MILITARY AVE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678017015",
            "telephone_number": "620-255-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 N 14TH AVE STE C",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012365",
            "telephone_number": "620-338-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENTON",
        "first_name": "JULIANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-31",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-02825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.