Individual provider Active NPI

Julie Woolridge, DPT

  • Orthopedic Physical Therapist
  • San Diego, CA
National Provider Identifier
1679018675
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT292239 Issued in CA
Practice address
295 G Street
San Diego, CA 92101-4633
Phone
(619) 238-4318
NPI assigned
Dec 29, 2016
Last updated
Dec 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT292239 CA Primary

Addresses

Primary practice location

295 G Street
San Diego, CA 92101-4633

Mailing address

1281 9TH Ave
Unit 217
San Diego, CA 92101-4633
Phone (201) 927-2993

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

LicenseStateTypeSpecialty
PT292239CAMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1679018675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 9TH AVE",
            "address_2": "UNIT 217",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921014633",
            "telephone_number": "201-927-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 G STREET",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921014633",
            "telephone_number": "619-238-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLRIDGE",
        "first_name": "JULIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT292239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.