Active NPI
Julie A Decuire
- Physical Therapist
- Redmond, WA
National Provider Identifier
1316080328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00008629
- Practice address
- 22500 NE Marketplace Dr
Suite 204
Redmond, WA 98053-2033 - Phone
- (425) 836-1034
- Fax
- (425) 836-1037
- NPI assigned
- Feb 15, 2007
- 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 | PT00008629 | WA | Primary |
Addresses
Primary practice location
22500 NE Marketplace Dr
Suite 204
Redmond, WA 98053-2033
Mailing address
1519 132ND St SE
Suite a
Everett, WA 98208-7203
Phone (425) 330-0633
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0218066 | Other | WA | DEPT. OF LABOR & INDUSTRY |
| 3499DE | Other | WA | REGENCE |
| 7762900 | Other | WA | AETNA |
| 0232275 | Other | WA | LABOR & INDUSTRIES |
| 8943763 | Other | WA | L&I CRIME VICTIMS |
| P00417127 | Other | WA | RAILROAD MEDIARE |
| G8872199 | Other | WA | MEDICARE |
| 2250DE | Other | WA | REGENCE BLUE SHIELD |
| 8474595 | Medicaid | WA | |
| 8870905 | Other | WA | MEDICARE |
| P00473358 | Other | WA | RAILROAD MEDICARE |
Other names 1
- Julie Ann Skelton
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT00008629 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehabilitation Group, PC | Physical 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 Therapy Clinic/Center
- Marysville, WA
- NPI 1215201801
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1316080328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1519 132ND ST SE",
"address_2": "SUITE A",
"city": "EVERETT",
"state": "WA",
"postal_code": "982087203",
"telephone_number": "425-330-0633",
"fax_number": "425-338-9637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22500 NE MARKETPLACE DR",
"address_2": "SUITE 204",
"city": "REDMOND",
"state": "WA",
"postal_code": "980532033",
"telephone_number": "425-836-1034",
"fax_number": "425-836-1037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECUIRE",
"first_name": "JULIE",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00008629",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR & INDUSTRY",
"identifier": "0218066",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "3499DE",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7762900",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0232275",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I CRIME VICTIMS",
"identifier": "8943763",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDIARE",
"identifier": "P00417127",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "G8872199",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "2250DE",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8474595",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "8870905",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00473358",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "SKELTON",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.