Active NPI
Julie Desautels, PT
- Physical Therapist
- Palo Alto, CA
National Provider Identifier
1518274943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 37078
- Practice address
- 120 Hamilton Ave
Palo Alto, CA 94301-1616 - Phone
- (650) 323-4401
- Fax
- (650) 323-4402
- NPI assigned
- Sep 7, 2010
- Last updated
- Sep 7, 2010
- 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 | 37078 | AK | Primary |
Addresses
Primary practice location
120 Hamilton Ave
Palo Alto, CA 94301-1616
Mailing address
File 50469
Los Angeles, CA 90074-0469
Phone (530) 778-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37078 | Other | AK | PHYSICAL THERAPY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37078 | AK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adient Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
| Adient Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ATIPhysical Therapy
- Physical Therapist
- Northridge, CA
- NPI 1073695102
-
dba Adient Orthopedic Physical Therapy
- Physical Therapist
- Fairbanks, AK
- NPI 1760564868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283817600000",
"number": "1518274943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE 50469",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900740469",
"telephone_number": "530-778-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 HAMILTON AVE",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943011616",
"telephone_number": "650-323-4401",
"fax_number": "650-323-4402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAUTELS",
"first_name": "JULIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-07",
"last_updated": "2010-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "37078",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY",
"identifier": "37078",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.