Individual provider Active NPI

Juliana Raye Kuss, DPT

  • Physical Therapist
  • Monroe, NC
National Provider Identifier
1720796550
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P21767 Issued in NC
Practice address
1002 Unity CT
Monroe, NC 28110-7878
Phone
(704) 283-0028
NPI assigned
Nov 10, 2022
Last updated
Nov 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P21767 NC Primary

Addresses

Primary practice location

1002 Unity CT
Monroe, NC 28110-7878

Mailing address

811 Sharview Cir Apt 636
Charlotte, NC 28217-6656
Phone (203) 565-9553

Other practice location 1

9111 Monroe Rd Ste 100
Charlotte, NC 28270-2460
Phone (704) 847-3911

Other identifiers 1

IdentifierTypeStateIssuer
P21767OtherNCNC BOARD OF PHYSICAL THERAPY EXAMINERS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@fullcirclepediatrictherapy.com Full Circle Pediatric Therapy

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P21767NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Pediatric Therapy Physical Therapist CurrentSince Sep 15, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1720796550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 SHARVIEW CIR APT 636",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282176656",
            "telephone_number": "203-565-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 UNITY CT",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107878",
            "telephone_number": "704-283-0028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9111 Monroe Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282702460",
            "country_code": "US",
            "telephone_number": "704-847-3911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUSS",
        "first_name": "JULIANA",
        "middle_name": "RAYE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF PHYSICAL THERAPY EXAMINERS",
            "identifier": "P21767",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@fullcirclepediatrictherapy.com",
            "affiliation": "Y",
            "affiliationName": "Full Circle Pediatric Therapy",
            "address_1": "1004 Rosewater Ln",
            "city": "Indian Trail",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280793712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.