Individual provider Active NPI

Julie Leanore Almodovar, P.T.

  • Physical Therapist
  • Yorkville, IL
National Provider Identifier
1346376183
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.005936 Issued in IL
Practice address
654 W Veterans Parkway
Ste D
Yorkville, IL 60560-2510
Phone
(630) 553-9300
Fax
(630) 553-9306
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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 070.005936 IL Primary

Addresses

Primary practice location

654 W Veterans Parkway
Ste D
Yorkville, IL 60560-2510

Mailing address

654 W Veterans Parkway
Ste D
Yorkville, IL 60560-2510
Phone (630) 553-9300

Other practice location 1

1802 N Division
Ste 305
Morris, IL 60450-1184
Phone (815) 942-9050

Other identifiers 1

IdentifierTypeStateIssuer
PT33041OtherCACALIFORNIA STATE LICENSE

Other names 1

  • Julie Leanore Bruns Former name

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
PT33041CAMDLicensed Psychiatric Technician
070.005936ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lags Spine and Sportscare Medical Centers, Inc. Past Accepting new patients
Zjoint PLLC PastSince Apr 12, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1346376183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 W VETERANS PARKWAY",
            "address_2": "STE D",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605602510",
            "telephone_number": "630-553-9300",
            "fax_number": "630-553-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 W VETERANS PARKWAY",
            "address_2": "STE D",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605602510",
            "telephone_number": "630-553-9300",
            "fax_number": "630-553-9306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 N Division",
            "address_2": "Ste 305",
            "address_purpose": "LOCATION",
            "city": "Morris",
            "state": "IL",
            "postal_code": "604501184",
            "country_code": "US",
            "telephone_number": "815-942-9050",
            "fax_number": "815-942-9051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALMODOVAR",
        "first_name": "JULIE",
        "middle_name": "LEANORE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.005936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE LICENSE",
            "identifier": "PT33041",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "BRUNS",
            "middle_name": "LEANORE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yorkville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.