Active NPI
Julie Therese Munson, PT,ATC, CSCS
- Physical Therapist
- Saint Clair Shores, MI
National Provider Identifier
1750510970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501004090
- Practice address
- 23161 Greater Mack Ave
Saint Clair Shores, MI 48080-1956 - Phone
- (586) 779-8892
- Fax
- (586) 779-2869
- NPI assigned
- Jul 9, 2009
- Last updated
- Aug 25, 2011
- 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 | 5501004090 | MI | Primary |
Addresses
Primary practice location
23161 Greater Mack Ave
Saint Clair Shores, MI 48080-1956
Mailing address
23161 Greater Mack Ave
Saint Clair Shores, MI 48080-1956
Phone (586) 779-8892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23161 Greater Mack Ave
Saint Clair Shores, MI 48080-1956
Phone (586) 779-8892
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501004090 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Gilboe and Associates Inc | Physical Therapist | Current | Accepting new patients |
| David Gilboe & Associates, Inc. | Past | Accepting new patients |
Locations
23161 Greater Mack Ave
St Clr Shores, MI 48080
Phone (586) 779-8892
Organizations & group practices 2
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
- Saint Clair Shores, MI
- NPI 1558458802
-
- Customized Equipment (DME)
- Saint Clair Shores, MI
- NPI 1023227857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314230400000",
"number": "1750510970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23161 GREATER MACK AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480801956",
"telephone_number": "586-779-8892",
"fax_number": "586-779-2869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23161 GREATER MACK AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480801956",
"telephone_number": "586-779-8892",
"fax_number": "586-779-2869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNSON",
"first_name": "JULIE",
"middle_name": "THERESE",
"credential": "PT,ATC, CSCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-09",
"last_updated": "2011-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501004090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.