Active NPI
Julie M Johnson
- Physical Therapist
- Seattle, WA
National Provider Identifier
1710192711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00005008
- Practice address
- 5621 University Way NE
Seattle, WA 98105-2619 - Phone
- (206) 729-1405
- Fax
- (206) 324-0543
- NPI assigned
- May 12, 2007
- 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 | PT00005008 | WA | Primary |
Addresses
Primary practice location
5621 University Way NE
Seattle, WA 98105-2619
Mailing address
2427 E Miller St
Seattle, WA 98112-2201
Phone (206) 729-1405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00005008 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Orthopedic & Sports Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
5621 University Way NE
Seattle, WA 98105
Phone (206) 729-1405
2924 Eastlake Ave E
Seattle, WA 98102
Phone (206) 729-1405
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.
-
- Physical Therapist
- Seattle, WA
- NPI 1861660532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710192711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2427 E MILLER ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981122201",
"telephone_number": "206-729-1405",
"fax_number": "206-324-0543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5621 UNIVERSITY WAY NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981052619",
"telephone_number": "206-729-1405",
"fax_number": "206-324-0543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JULIE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00005008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.