Julie R Berube, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

038140 Issued in NY

Practice address

6800 E Genesee St
Fayetteville, NY 13066-1089

Phone

(315) 635-5000

Fax

(315) 446-1816

NPI assigned

Aug 20, 2014

Last updated

Jul 21, 2022By 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Livewell Cny Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Manlius, NY
  • NPI 1104506286
  NPD Authorized official
• Onondaga Physical Therapy, LLC

  • Physical Therapist
  • Syracuse, NY
  • NPI 1811094402
  NPD (past)

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417356940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7687 FRONTAGE RD",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130398921",
            "telephone_number": "315-635-5000",
            "fax_number": "315-446-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 E GENESEE ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661089",
            "telephone_number": "315-635-5000",
            "fax_number": "315-446-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERUBE",
        "first_name": "JULIE",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04323864",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia G Battaglia, MD
• Roman Batyuk, FNP-BC
• Theresa Baxter, FNP
• Lynn C Bayly, DC
• Danielle Bedford, FNP-C
• John Kristian Best, PH.D.
• Rohit Bhan
• Dil Bhujel
• Biby Rajan-George M.D PLLC (Biby Rajan-George)
• Allan M Birnbaum, MD

• Physical Therapist in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.