Active NPI
Julia Diane Guthart, OT
- Occupational Therapist
- Jacksonville, FL
National Provider Identifier
1275538696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT2605
- Practice address
- 1325 San Marco Blvd Ste 102
Credentialing Department
Jacksonville, FL 32207-8549 - Phone
- (904) 858-7045
- Fax
- (904) 858-7047
- NPI assigned
- Jun 14, 2005
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT2605 | FL | Primary |
Addresses
Primary practice location
1325 San Marco Blvd Ste 102
Credentialing Department
Jacksonville, FL 32207-8549
Mailing address
PO Box 40767
Credentialing Department
Jacksonville, FL 32203-0767
Phone (904) 376-3707
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacksonville Orthopaedic Institute Inc | Occupational Therapist | 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.
-
- Physical Therapist
- Jacksonville, FL
- NPI 1346399698
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423008000000",
"number": "1275538696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40767",
"address_2": "CREDENTIALING DEPARTMENT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322030767",
"telephone_number": "904-376-3707",
"fax_number": "904-391-5807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 SAN MARCO BLVD STE 102",
"address_2": "CREDENTIALING DEPARTMENT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078549",
"telephone_number": "904-858-7045",
"fax_number": "904-858-7047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTHART",
"first_name": "JULIA",
"middle_name": "DIANE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-14",
"last_updated": "2015-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT2605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.