Active NPI
Nathaniel James Juillerat, DPT
- Physical Therapist
- Buckeye, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-32964
- Practice address
- 1300 S Watson Rd Ste A104
Buckeye, AZ 85326-6303 - Phone
- (480) 940-8299
- NPI assigned
- May 16, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 306122 | CA | |
| Physical Therapist | 225100000X | LPT-32964 | AZ | Primary |
Addresses
Primary practice location
1300 S Watson Rd Ste A104
Buckeye, AZ 85326-6303
Mailing address
4314 N Greenbrier Rd
Long Beach, CA 90808-1417
Phone (623) 824-6755
Other practice location 1
5539B E Stearns St
Long Beach, CA 90815-3125
Phone (562) 855-1129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2888 Long Beach Blvd
Suite 405
Long Beach, CA 90806-1551
Phone (562) 595-4489
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-32964 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Rehabilitation & Sports Therapy a California Physical Ther | Physical Therapist | Current | Accepting new patients |
| California Rehabilitation & Sports Therapy a California Physical Ther | Physical Therapist | Current | Accepting new patients |
| Foothills Sports Medicine & Rehabilitation, LLC | Current | Accepting new patients | |
| Foothills Sports Medicine & Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Foothills Sports Medicine & Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| California Rehab & Sports Therapy | Current | Accepting new patients | |
| California Rehabilitation & Sports Therapy a California Physical Ther | Physical Therapist | Past | Accepting new patients |
| California Rehabilitation & Sports Therapy a California Physical Ther | Physical Therapist | Past | Accepting new patients |
Locations
1300 S Watson Rd
Ste A104
Buckeye, AZ 85326
Phone (480) 940-8299
1300 S Watson Rd
Ste 104
Buckeye, AZ 85326
Phone (623) 251-3201
6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909
15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822
3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204
505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010
471 W Lambert Rd
Ste 106
Brea, CA 92821
Phone (714) 255-8877
415 Carmen Dr
Camarillo, CA 93010
Phone (805) 322-9083
255 E Rincon St
Ste 112
Corona, CA 92879
Phone (951) 523-8509
4755 Katella Ave
Ste 101
Cypress, CA 90720
Phone (657) 213-8687
2888 Long Beach Blvd
Ste 405
Long Beach, CA 90806
Phone (562) 595-4489
5539 E Stearns St
#B
Long Beach, CA 90815
Phone (562) 855-1129
5810 Downey Ave
Long Beach, CA 90805
Phone (562) 380-2178
12539 Imperial Hwy
Ste 201
Norwalk, CA 90650
Phone (562) 379-9541
19000 Hawthorne Blvd
Ste 300
Torrance, CA 90503
Phone (310) 793-1800
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010
Organizations & group practices 8
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1679264147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4314 N GREENBRIER RD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908081417",
"telephone_number": "623-824-6755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 S WATSON RD STE A104",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853266303",
"telephone_number": "480-940-8299"
}
],
"practiceLocations": [
{
"address_1": "5539B E Stearns St",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908153125",
"country_code": "US",
"telephone_number": "562-855-1129",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUILLERAT",
"first_name": "NATHANIEL",
"middle_name": "JAMES",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-16",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "306122",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-32964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buckeye, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.