Individual provider Active NPI

Julie Loudon, PT,MTC, OCS

  • Physical Therapist
  • Moses Lake, WA
National Provider Identifier
1295805372
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00007801 Issued in WA
Practice address
2200 S Maiers Rd
Moses Lake, WA 98837-8818
Phone
(509) 764-7246
Fax
(509) 764-7248
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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 PT00007801 WA Primary

Addresses

Primary practice location

2200 S Maiers Rd
Moses Lake, WA 98837-8818

Mailing address

2200 S Maiers Rd
Moses Lake, WA 98837-8818
Phone (509) 764-7246

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
PT00007801WAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1295805372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S MAIERS RD",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988378818",
            "telephone_number": "509-764-7246",
            "fax_number": "509-764-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S MAIERS RD",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988378818",
            "telephone_number": "509-764-7246",
            "fax_number": "509-764-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUDON",
        "first_name": "JULIE",
        "credential": "PT,MTC, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.