Individual provider Active NPI

Julia C Stapans, DPT

  • Physical Therapist
  • Mystic, CT
National Provider Identifier
1619489432
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14826 Issued in CT
Practice address
2440 Gold Star Hwy Unit 201
Mystic, CT 06355-1180
Phone
(860) 536-1001
NPI assigned
Nov 2, 2017
Last updated
Apr 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT03058 RI
Physical Therapist 225100000X 14826 CT Primary

Addresses

Primary practice location

2440 Gold Star Hwy Unit 201
Mystic, CT 06355-1180

Mailing address

216 Kings Ridge Rd
South Kingstown, RI 02879-2402
Phone (941) 209-8844

Other practice location 1

2850 S County Trl Unit 3
East Greenwich, RI 02818-1731
Phone (401) 941-6230

Other practice location 2

1559 Elmwood Ave
Cranston, RI 02910-3845
Phone (401) 941-6230

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

LicenseStateTypeSpecialty
14826CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Physical Therapy, LLC Physical Therapist CurrentSince Apr 6, 2025 Accepting new patients
Rhode Island Limb Co Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1619489432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 KINGS RIDGE RD",
            "city": "SOUTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028792402",
            "telephone_number": "941-209-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 GOLD STAR HWY UNIT 201",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551180",
            "telephone_number": "860-536-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2850 S County Trl Unit 3",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "028181731",
            "country_code": "US",
            "telephone_number": "401-941-6230",
            "fax_number": "401-941-6339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1559 Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029103845",
            "country_code": "US",
            "telephone_number": "401-941-6230",
            "fax_number": "401-941-6339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAPANS",
        "first_name": "JULIA",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-02",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03058",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "14826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mystic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.