Active NPI
Juliana Raye Kuss, DPT
- Physical Therapist
- Monroe, NC
National Provider Identifier
1720796550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P21767
- Practice address
- 1002 Unity CT
Monroe, NC 28110-7878 - Phone
- (704) 283-0028
- NPI assigned
- Nov 10, 2022
- Last updated
- Nov 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P21767 | Other | NC | NC BOARD OF PHYSICAL THERAPY EXAMINERS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| P21767 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Circle Pediatric Therapy | Physical Therapist | Current | 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.
-
- Physical Therapist
- Monroe, NC
- NPI 1487842407
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.