Individual provider Active NPI

Julia Jackson

  • Physical Therapist
  • Simi Valley, CA
National Provider Identifier
1477433852
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
308832 Issued in CA
Practice address
2260 Tapo St
Simi Valley, CA 93063-3022
Phone
(805) 765-4773
NPI assigned
Sep 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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 308832 CA Primary

Addresses

Primary practice location

2260 Tapo St
Simi Valley, CA 93063-3022

Mailing address

2260 Tapo St
Simi Valley, CA 93063-3022
Phone (805) 765-4773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251014001872 CA Practitioner - Physical Therapist in Private Practice 8426545427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2260 Tapo St
Suite B117
Simi Valley, CA 93063-3022
Phone (805) 765-4773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Two Trees Physical Therapy & Wellness Inc Physical Therapist CurrentSince Aug 27, 2025 Accepting new patients
Two Trees Physical Therapy & Wellness Inc Physical Therapist CurrentSince Aug 27, 2025 Accepting new patients

Locations

2260 Tapo St
Simi Valley, CA 93063
Phone (805) 387-3060

2260 Tapo St
Ste B117
Simi Valley, CA 93063

3418 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 642-8565

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": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1477433852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 TAPO ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633022",
            "telephone_number": "805-765-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 TAPO ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633022",
            "telephone_number": "805-765-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JULIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.