Active NPI
Julie Marie Dixon I
- Physical Therapist
- Quincy, MA
National Provider Identifier
1750968459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11445
- Practice address
- 2 Seaport Dr
Quincy, MA 02171-1599 - Phone
- (617) 769-5100
- NPI assigned
- Mar 27, 2021
- 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 | 11445 | MA | Primary |
Addresses
Primary practice location
2 Seaport Dr
Quincy, MA 02171-1599
Mailing address
2 Seaport Dr
Quincy, MA 02171-1599
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 |
|---|---|---|---|
| 11445 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1750968459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 SEAPORT DR",
"city": "QUINCY",
"state": "MA",
"postal_code": "021711599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SEAPORT DR",
"city": "QUINCY",
"state": "MA",
"postal_code": "021711599",
"telephone_number": "617-769-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "JULIE",
"middle_name": "MARIE",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-27",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "11445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.