Individual provider Active NPI

Julius Marayag

  • Physical Therapist
  • Fishers, IN
National Provider Identifier
1750690939
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
11570 E 126TH St
Fishers, IN 46037-9592
Phone
(317) 204-3736
NPI assigned
Oct 5, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X PT020940 PA
Physical Therapist 225100000X Primary

Addresses

Primary practice location

11570 E 126TH St
Fishers, IN 46037-9592

Mailing address

9926 Win Star Way
Fishers, IN 46040-1364
Phone (317) 379-9612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211025001014 IN Practitioner - Physical Therapist in Private Practice 1153719141 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT020940PAMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Sep 20, 2021 Accepting new patients
Osteopractic Physical Therapy of Central Indiana LLC Physical Therapist CurrentSince Feb 12, 2023 Accepting new patients
Creative Health Care Management LLC Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Sep 20, 2021 Accepting new patients
Creative Health Care Management LLC Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Access Therapies,Inc Past Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

11570 E 126th St
Fishers, IN 46037
Phone (317) 349-5913

300 E Washington Blvd
Fort Wayne, IN 46802
Phone (260) 422-5511

1818 N State St
Greenfield, IN 46140
Phone (317) 462-1800

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

2333 Post Dr
Indianapolis, IN 46219
Phone (317) 890-7700

3630 Hickory Rd
Mishawaka, IN 46545
Phone (574) 252-7225

10 S 9th St
Ste 4
Noblesville, IN 46060

Organizations & group practices 6

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": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1750690939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9926 WIN STAR WAY",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460401364",
            "telephone_number": "317-379-9612",
            "fax_number": "317-388-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11570 E 126TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379592",
            "telephone_number": "317-204-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARAYAG",
        "first_name": "JULIUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-05",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "PA",
            "license": "PT020940",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.