Individual provider Active NPI

Julianne Matthews

  • Physical Therapy Assistant
  • Babylon, NY
National Provider Identifier
1689270159
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
012535 Issued in NY
Practice address
400 W Main St Ste 111
Babylon, NY 11702-3009
Phone
(631) 376-0600
NPI assigned
Dec 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 012535 NY Primary

Addresses

Primary practice location

400 W Main St Ste 111
Babylon, NY 11702-3009

Mailing address

400 W Main St Ste 111
Babylon, NY 11702-3009
Phone (631) 376-0600

Other practice location 1

4611 Merrick Rd
Massapequa, NY 11758-6010
Phone (516) 590-7611

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
012536NYMDChiropractor
012535NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Arena PT PC CurrentSince Dec 13, 2020 Accepting new patients

Locations

400 W Main St
Ste 111
Babylon, NY 11702
Phone (631) 376-0600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1689270159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST STE 111",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023009",
            "telephone_number": "631-376-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST STE 111",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023009",
            "telephone_number": "631-376-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4611 Merrick Rd",
            "address_purpose": "LOCATION",
            "city": "Massapequa",
            "state": "NY",
            "postal_code": "117586010",
            "country_code": "US",
            "telephone_number": "516-590-7611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "JULIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "012535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.