Active NPI
Judith Radcliffe, PT
- Physical Therapist
- Santa Cruz, CA
National Provider Identifier
1659453330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT21808
- Practice address
- 1529 Seabright Ave
Santa Cruz, CA 95062-2528 - Phone
- (831) 458-6230
- NPI assigned
- Oct 20, 2006
- Last updated
- Sep 29, 2011
- 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 | PT21808 | CA | Primary |
Addresses
Primary practice location
1529 Seabright Ave
Santa Cruz, CA 95062-2528
Mailing address
2350 W El Camino Real
2ND Floor
Mountain View, CA 94040-6201
Phone (707) 303-6424
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 |
|---|---|---|---|
| PT21808 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Cruz Medical Clinic, Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Santa Cruz Medical Clinic
- Family Medicine Physician
- Santa Cruz, CA
- NPI 1588775308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1659453330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 W EL CAMINO REAL",
"address_2": "2ND FLOOR",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940406201",
"telephone_number": "707-303-6424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1529 SEABRIGHT AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950622528",
"telephone_number": "831-458-6230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADCLIFFE",
"first_name": "JUDITH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT21808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
- Emaad Qureshi
- Jessica Raasch
- Julianna M Rabanal-Miceli, RN
- Laura Lynn Rabb-Jancola
- Jessica Leahlea Radcliff
- Destin Joseph Radder, L.AC.
- Radiology Medical Group of Santa Cruz County Inc
- Radiology Medical Group of Santa Cruz County Inc
- Radiology Medical Group of Santa Cruz County Inc
- Radiology Medical Group of Santa Cruz County Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.