Individual provider Active NPI

Juliana Maria Botting, PT, DPT, ATC

  • Physical Therapist
  • Granada Hills, CA
National Provider Identifier
1730735853
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
296903 Issued in CA
Practice address
10725 Zelzah Ave # B
Granada Hills, CA 91344-4431
Phone
(818) 832-8383
NPI assigned
Aug 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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 296903 CA Primary

Addresses

Primary practice location

10725 Zelzah Ave # B
Granada Hills, CA 91344-4431

Mailing address

4438 Vista del Monte Ave Apt 301
Sherman Oaks, CA 91403-3074
Phone (818) 203-9006

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
296903CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All Star Physical Therapy Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients

Locations

10725 Zelzah Ave
#B
Granada Hills, CA 91344
Phone (818) 400-0304

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": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1730735853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4438 VISTA DEL MONTE AVE APT 301",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033074",
            "telephone_number": "818-203-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10725 ZELZAH AVE # B",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444431",
            "telephone_number": "818-832-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTING",
        "first_name": "JULIANA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.