Individual provider Active NPI

Julia Rachelle Cratty, PT, DPT

  • Physical Therapist
  • Santa Rosa, CA
National Provider Identifier
1417604745
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
301834 Issued in CA
Practice address
2798 Yulupa Ave Ste a
Santa Rosa, CA 95405-8570
Phone
(707) 527-4001
NPI assigned
Mar 7, 2022
Last updated
Mar 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 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 301834 CA Primary

Addresses

Primary practice location

2798 Yulupa Ave Ste a
Santa Rosa, CA 95405-8570

Mailing address

571 Acadia Dr
Petaluma, CA 94954-6683
Phone (707) 933-6420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220324002614 CA Practitioner - Physical Therapist in Private Practice 0042605297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Next Level Physical Therapy IncGroup PAC ID 3870899800, 2 clinicians

Practice addresses (Care Compare)

1310 Redwood Way
Suite 120
Petaluma, CA 94954-6514
Phone (707) 981-8062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level Physical Therapy Inc. Physical Therapist CurrentSince Jun 28, 2024 Accepting new patients

Locations

1310 Redwood Way
Ste 120
Petaluma, CA 94954
Phone (707) 981-8062

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

NPI Registry JSON

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1417604745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 ACADIA DR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546683",
            "telephone_number": "707-933-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2798 YULUPA AVE STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954058570",
            "telephone_number": "707-527-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRATTY",
        "first_name": "JULIA",
        "middle_name": "RACHELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.