Julie M Tibbetts, DPT, PT, L.AC, LMT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT34929 Issued in CA

Practice address

4956 Waring Rd
Ste a
San Diego, CA 92120

Phone

(619) 618-5780

NPI assigned

Sep 18, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Osteo Relief Institute Inc

  • Physical Medicine & Rehabilitation Physician
  • San Diego, CA
  • NPI 1992093793
  NPD (past)

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1295984912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4956 WARING RD",
            "address_2": "STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92120",
            "telephone_number": "619-618-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4956 WARING RD",
            "address_2": "STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92120",
            "telephone_number": "619-618-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBBETTS",
        "first_name": "JULIE",
        "middle_name": "M",
        "credential": "DPT, PT, L.AC, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15199",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT34929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "26-4007507",
            "identifier": "26-4007507",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Thyberg
• Jade Maria Tiaba
• Maria Lourdes Agustin Tiamson-Kassab, M.D.
• Michele Tiana
• Tibbetts East-West Therapy Center,Inc
• Donald Marc Tibbils, PTA
• Jenna Lauren Tibbitts
• Conor William Tibbs, PA-C
• Jessica Anne Tiber, MD
• Tibetan Healing Center

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.