Active NPI
Julie P. Peterson, P.T.
- Physical Therapist
- Sulphur, LA
National Provider Identifier
1417021973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00644
- Practice address
- 1215 S Post Oak Rd
Suite 3
Sulphur, LA 70663-5200 - Phone
- (337) 626-9888
- Fax
- (337) 626-8040
- NPI assigned
- Nov 17, 2006
- 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 | 00644 | LA | Primary |
Addresses
Primary practice location
1215 S Post Oak Rd
Suite 3
Sulphur, LA 70663-5200
Mailing address
1909 Southwood Dr
Lake Charles, LA 70605-4132
Phone (337) 477-9292
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00644 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417021973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 SOUTHWOOD DR",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706054132",
"telephone_number": "337-477-9292",
"fax_number": "337-477-9268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 S POST OAK RD",
"address_2": "SUITE 3",
"city": "SULPHUR",
"state": "LA",
"postal_code": "706635200",
"telephone_number": "337-626-9888",
"fax_number": "337-626-8040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "JULIE",
"middle_name": "P.",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "00644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sulphur, LA
- Sandra M Peacock, APRN
- Peak Performance Physical Therapy & Sports Rehab, LLC
- Pedi Physical Therapy
- Pediatric Therapy of Swla
- Paul C. Perry, D.D.S., M.S.
- Leslie Anderson Petross, LDN,RD
- Physicians Imaging - Sulphur Associates, LLC
- Physicians Imaging - Sulphur, LLC
- Physicians Imaging-Sulphur Medicaid
- Marrisa A. Lafanette Piper, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.