Individual provider Active NPI

Julie Maybach Royal, P.T.

  • Physical Therapist
  • Warrenton, VA
National Provider Identifier
1598994469
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305005733 Issued in VA
Practice address
381 Stuyvesant St
Suite 4
Warrenton, VA 20186-2400
Phone
(540) 270-2149
Fax
(540) 347-4456
NPI assigned
Jul 13, 2009
Last updated
Jan 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305005733 VA Primary
Geriatric Physical Therapist 2251G0304X 2305005733 VA
Orthopedic Physical Therapist 2251X0800X 2305005733 VA

Addresses

Primary practice location

381 Stuyvesant St
Suite 4
Warrenton, VA 20186-2400

Mailing address

381 Stuyvesant St
Suite 4
Warrenton, VA 20186-2400
Phone (540) 270-2149

Other names 1

  • Julie Anne Maybach Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090819000175 VA Practitioner - Physical Therapist in Private Practice 0749334274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Virginia Commonwealth University, School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

560 Broadview Ave
Suite 201
Warrenton, VA 20186-2046
Phone (540) 347-4005

Merit-based Incentive Payment System (MIPS)

Final score
88.52 of 100Reported as individual
Quality
80.66
Improvement activities
40
Cost
87.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Orthopaedic Associates PC CurrentSince Jul 27, 2009 Accepting new patients
Innovative Physical Therapy LLC Physical Therapist CurrentSince May 24, 2010 Accepting new patients

Locations

381 Stuyvesant St
#4
Warrenton, VA 20186

381 Stuyvesant St
Ste 4
Warrenton, VA 20186
Phone (540) 270-2149

52 W Shirley Ave
Warrenton, VA 20186
Phone (540) 347-9220

560 Broadview Ave
Ste 201
Warrenton, VA 20186
Phone (540) 270-2149

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.

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1598994469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 STUYVESANT ST",
            "address_2": "SUITE 4",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862400",
            "telephone_number": "540-270-2149",
            "fax_number": "540-347-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 STUYVESANT ST",
            "address_2": "SUITE 4",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862400",
            "telephone_number": "540-270-2149",
            "fax_number": "540-347-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYAL",
        "first_name": "JULIE",
        "middle_name": "MAYBACH",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305005733",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "VA",
            "license": "2305005733",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305005733",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "MAYBACH",
            "middle_name": "ANNE",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.