Julia Istratov, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01543400 Issued in NJ

Practice address

540 Bergen Blvd
Ridgefield, NJ 07657-2802

Phone

(201) 945-2320

Fax

(201) 945-5007

NPI assigned

Sep 15, 2009

Last updated

Sep 15, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Balanced Body Rehabilitation LLCGroup PAC ID 0749401016, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Balanced Body Rehabilitation LLC

  dba Prime Orthopedic Rehabilitation

  • Physical Therapist
  • Tenafly, NJ
  • NPI 1740690627
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1396078887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 BERGEN BLVD",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076572802",
            "telephone_number": "201-945-2320",
            "fax_number": "201-945-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 BERGEN BLVD",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076572802",
            "telephone_number": "201-945-2320",
            "fax_number": "201-945-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISTRATOV",
        "first_name": "JULIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01543400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hong S Pak MD PC
• Hong Sik Pak MD Corea Rehab Pain Clinic
• Hope Acupuncture LLC
• Hongsok Hwang, DDS
• Institute of Back Testing & Rehab (Doctors Choice Physical Therapy)
• Janus Acupuncture Care, P.C.
• Min-Beom Jin, L.AC., CA
• Steven Jin, L.AC.
• Johan Peguero (Johan Peguero, LCSW)
• Kristin Joson

• Physical Therapist in Ridgefield, NJ
• Providers in Ridgefield, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.