Individual provider Active NPI

Julia Bruneau, PT

  • Physical Therapist
  • Charlottesville, VA
National Provider Identifier
1568423382
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305204352 Issued in VA
Practice address
416 Albemarle SQ
Charlottesville, VA 22901-7400
Phone
(434) 443-0295
Fax
(434) 465-6843
NPI assigned
Mar 31, 2006
Last updated
Dec 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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 2305204352 VA Primary

Addresses

Primary practice location

416 Albemarle SQ
Charlottesville, VA 22901-7400

Mailing address

504 Albemarle SQ
Charlottesville, VA 22901-7405
Phone (434) 817-7848

Other practice location 1

751 Hillsdale Dr
Charlottesville, VA 22901-3300
Phone (434) 973-3501

Other identifiers 1

IdentifierTypeStateIssuer
181573OtherVAANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130720000211 VA Practitioner - Physical Therapist in Private Practice 8123269958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Virginia Commonwealth University, School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy at AcacGroup PAC ID 7214907211, 52 clinicians

Practice addresses (Care Compare)

416 Albemarle SQ
Charlottesville, VA 22901-7400
Phone (434) 220-0021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Chiropractic, PLC CurrentSince Jun 6, 2013 Accepting new patients
Physical Therapy at Acac Physical Therapist CurrentSince Nov 6, 2023 Accepting new patients
Physical Therapy at Acac CurrentSince Nov 6, 2023 Accepting new patients
Physical Therapy at Acac Physical Therapist Past Accepting new patients

Locations

416 Albemarle Sq
Charlottesvle, VA 22901
Phone (434) 220-0021

504 Albemarle Sq
Charlottesvle, VA 22901
Phone (434) 817-7848

608 Preston Ave
Ste 100
Charlottesvle, VA 22903
Phone (434) 293-3800

901 Preston Ave
Ste 101
Charlottesvle, VA 22903
Phone (434) 293-3800

Organizations & group practices 4

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1568423382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 ALBEMARLE SQ",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229017405",
            "telephone_number": "434-817-7848",
            "fax_number": "434-465-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 ALBEMARLE SQ",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229017400",
            "telephone_number": "434-443-0295",
            "fax_number": "434-465-6843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 Hillsdale Dr",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229013300",
            "country_code": "US",
            "telephone_number": "434-973-3501",
            "fax_number": "434-973-0841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNEAU",
        "first_name": "JULIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "181573",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.