Individual provider Active NPI

Luann Lynn Dejulius, P.T.

  • Orthopedic Physical Therapist
  • Willoughby, OH
National Provider Identifier
1750576575
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
005097 Issued in OH
Practice address
34600 Chardon Rd
Suite 9
Willoughby, OH 44094-8480
Phone
(440) 461-3127
NPI assigned
Sep 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 005097 OH Primary

Addresses

Primary practice location

34600 Chardon Rd
Suite 9
Willoughby, OH 44094-8480

Mailing address

34600 Chardon Rd
Suite 9
Willoughby, OH 44094-8480
Phone (440) 461-3127

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
005097OHMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Balance Massage Past Accepting new patients
PT Plus, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1750576575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34600 CHARDON RD",
            "address_2": "SUITE 9",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440948480",
            "telephone_number": "440-461-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34600 CHARDON RD",
            "address_2": "SUITE 9",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440948480",
            "telephone_number": "440-461-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJULIUS",
        "first_name": "LUANN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "005097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.