Individual provider Active NPI

Julie Lynn Pies, PTA,LMT,MFRP

  • Physical Therapy Assistant
  • Mill Valley, CA
National Provider Identifier
1497027890
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
6547 Issued in CA
Practice address
150 Shoreline Hwy
B20
Mill Valley, CA 94941-3639
Phone
(415) 407-9674
NPI assigned
Jan 31, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 6547 CA Primary

Addresses

Primary practice location

150 Shoreline Hwy
B20
Mill Valley, CA 94941-3639

Mailing address

150 Shoreline Hwy
B20
Mill Valley, CA 94941-3639
Phone (415) 407-9674

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

NPI Registry JSON

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1497027890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SHORELINE HWY",
            "address_2": "B20",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413639",
            "telephone_number": "415-407-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SHORELINE HWY",
            "address_2": "B20",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413639",
            "telephone_number": "415-407-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIES",
        "first_name": "JULIE",
        "middle_name": "LYNN",
        "credential": "PTA,LMT,MFRP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "6547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.