Individual provider Active NPI

Julie R Claiborne, BSPT

  • Physical Therapist
  • Tacoma, WA
National Provider Identifier
1669420196
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00005753 Issued in WA
Practice address
2702 S 42ND St
Suite 310
Tacoma, WA 98409-7300
Phone
(253) 472-7844
Fax
(253) 472-8474
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00005753 WA Primary

Addresses

Primary practice location

2702 S 42ND St
Suite 310
Tacoma, WA 98409-7300

Mailing address

2702 S 42ND St
Suite 310
Tacoma, WA 98409-7300
Phone (253) 472-7844

Other identifiers 2

IdentifierTypeStateIssuer
7695CLOtherWAREGENCE
8372682MedicaidWA

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

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1669420196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 S 42ND ST",
            "address_2": "SUITE 310",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097300",
            "telephone_number": "253-472-7844",
            "fax_number": "253-472-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 S 42ND ST",
            "address_2": "SUITE 310",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097300",
            "telephone_number": "253-472-7844",
            "fax_number": "253-472-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAIBORNE",
        "first_name": "JULIE",
        "middle_name": "R",
        "credential": "BSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "7695CL",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8372682",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.