Individual provider Active NPI

Julie West

  • Physical Rehabilitation Occupational Therapist
  • Lauderhill, FL
National Provider Identifier
1568019552
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
Practice address
5500 NW 69TH Ave Apt 115
Lauderhill, FL 33319-7267
Phone
(203) 631-3603
NPI assigned
Aug 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X Primary

Addresses

Primary practice location

5500 NW 69TH Ave Apt 115
Lauderhill, FL 33319-7267

Mailing address

7790 NW 120TH Dr
Parkland, FL 33076-4537
Phone (203) 631-3603

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Lauderhill

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191108001906 FL Practitioner - Occupational Therapist in Private Practice 6002248226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Therapeutic Care, LLCGroup PAC ID 5991139669, 3 clinicians
Flaco Holdings IncGroup PAC ID 9931239050, 6 clinicians

Practice addresses (Care Compare)

5602 SW 1St CT
Plantation, FL 33317-3563
Phone (954) 440-2696

9423 Aston Gardens CT
Parkland, FL 33076-4101
Phone (954) 440-2696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Flaco Holdings Inc CurrentSince Oct 1, 2019 Accepting new patients
Elite Therapeutic Care, LLC CurrentSince Oct 21, 2019 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1568019552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7790 NW 120TH DR",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330764537",
            "telephone_number": "203-631-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 NW 69TH AVE APT 115",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333197267",
            "telephone_number": "203-631-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "JULIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Lauderhill",
            "affiliation": "N",
            "address_1": "5500 NW 69th Ave Apt 115",
            "city": "Lauderhill",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333197267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.