Active NPI
Julie Kuchem
- Physical Therapist
- Alice, TX
National Provider Identifier
1285115683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1292409
- Practice address
- 2500 E Main St
Alice, TX 78332-4261 - Phone
- (361) 661-8130
- NPI assigned
- Aug 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1292409 | TX | Primary |
Addresses
Primary practice location
2500 E Main St
Alice, TX 78332-4261
Mailing address
10113 Up River Rd Apt 5304
Corpus Christi, TX 78410-1605
Other names 1
- Julie Secrist
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1292409 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534982400000",
"number": "1285115683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10113 UP RIVER RD APT 5304",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784101605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 E MAIN ST",
"city": "ALICE",
"state": "TX",
"postal_code": "783324261",
"telephone_number": "361-661-8130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCHEM",
"first_name": "JULIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-23",
"last_updated": "2018-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1292409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "SECRIST",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Alice, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.