Active NPI
Julie R Claiborne, BSPT
- Physical Therapist
- Tacoma, WA
National Provider Identifier
1669420196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00005753
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7695CL | Other | WA | REGENCE |
| 8372682 | Medicaid | WA |
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.