Active NPI
Julie A. De Paul, P.T.
- Physical Therapist
- Bellingham, WA
National Provider Identifier
1619955051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00002094
- Practice address
- 1400 King St
Ste 102
Bellingham, WA 98229-6262 - Phone
- (360) 671-2900
- Fax
- (360) 671-2828
- NPI assigned
- Jan 5, 2006
- 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 | PT00002094 | WA | Primary |
Addresses
Primary practice location
1400 King St
Ste 102
Bellingham, WA 98229-6262
Mailing address
1400 King St Ste 102
Bellingham, WA 98229-6262
Phone (360) 671-2900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8342438 | Medicaid | WA | |
| 7121247 | Medicaid | WA | |
| 177633 | Other | WA | LABOR & INDUSTRIES |
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 |
|---|---|---|---|
| PT00002094 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Physical Therapy Sports Rehabilitation Center, Inc., P.S. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Mount Vernon, WA
- NPI 1174523054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1619955051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 KING ST STE 102",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982296262",
"telephone_number": "360-671-2900",
"fax_number": "360-671-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 KING ST",
"address_2": "STE 102",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982296262",
"telephone_number": "360-671-2900",
"fax_number": "360-671-2828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE PAUL",
"first_name": "JULIE",
"middle_name": "A.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-05",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00002094",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8342438",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7121247",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "177633",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.