Individual provider Active NPI

Julie Koutsoulias Montemarano, DC

  • Chiropractor
  • Broadview Heights, OH
National Provider Identifier
1649362971
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3744 Issued in OH
Practice address
203 E Royalton Rd Ste 108
Broadview Heights, OH 44147-4038
Phone
(440) 886-6500
Fax
(440) 526-4119
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3744 OH Primary

Addresses

Primary practice location

203 E Royalton Rd Ste 108
Broadview Heights, OH 44147-4038

Mailing address

203 E Royalton Rd Ste 108
Broadview Heights, OH 44147-4038
Phone (440) 886-6500

Other names 1

  • Dr. Julie Koutsoolias Montemarano Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061208000270 OH Practitioner - Chiropractic 3274532874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

203 E Royalton Rd
Suite 108
Broadview Heights, OH 44147-4038
Phone (440) 886-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3744OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Julie Koutsoulias, Inc. Chiropractor CurrentSince Feb 20, 2007 Accepting new patients

Locations

203 E Royalton Rd
Ste 108
Broadview Hts, OH 44147
Phone (440) 526-4940

6900 Ridge Rd
Ste 202
Parma, OH 44129
Phone (440) 887-1100

6208 Ridge Rd
Parma, OH 44129
Phone (216) 739-9000

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1649362971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E ROYALTON RD STE 108",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441474038",
            "telephone_number": "440-886-6500",
            "fax_number": "440-526-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E ROYALTON RD STE 108",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441474038",
            "telephone_number": "440-886-6500",
            "fax_number": "440-526-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEMARANO",
        "first_name": "JULIE",
        "middle_name": "KOUTSOULIAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "MONTEMARANO",
            "middle_name": "KOUTSOOLIAS",
            "prefix": "DR.",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Broadview Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.