Individual provider Active NPI

Julie S Cusack, PT

  • Physical Therapist
  • Lafayette, CO
National Provider Identifier
1265509467
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0011465 Issued in CO
Practice address
380 Empire Rd
Suite 230
Lafayette, CO 80026-2677
Phone
(720) 890-1091
Fax
(720) 890-1098
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070010363 IL
Physical Therapist 225100000X PTL.0011465 CO Primary

Addresses

Primary practice location

380 Empire Rd
Suite 230
Lafayette, CO 80026-2677

Mailing address

380 Empire Rd
Suite 230
Lafayette, CO 80026-2677
Phone (720) 890-1091

Other identifiers 1

IdentifierTypeStateIssuer
1619980OtherILBCBS OF IL

Other names 1

  • Julie S Laws Other name

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

LicenseStateTypeSpecialty
070010363ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic &Therapeutic Institute of Naperville, LLC Physical Therapist Past Accepting new patients
Athletic and Therapeutic Institute of Joliet LLC Physical Therapist Past Accepting new patients
Orthopedic Associates of Naperville SC PastSince Oct 24, 2007 Accepting new patients
Elmhurst Orthopaedics, SC Past Accepting new patients
Altitude Physical Therapy & Sports Medicine LLC PastSince Jan 24, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1265509467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 EMPIRE RD",
            "address_2": "SUITE 230",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262677",
            "telephone_number": "720-890-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 EMPIRE RD",
            "address_2": "SUITE 230",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262677",
            "telephone_number": "720-890-1091",
            "fax_number": "720-890-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSACK",
        "first_name": "JULIE",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070010363",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0011465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "1619980",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "LAWS",
            "middle_name": "S",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.