Active NPI
Julie S Dirusso
- Physical Therapist
- Redmond, WA
National Provider Identifier
1760085021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00007355
- Practice address
- 15809 Bear Creek Pkwy Ste 140
Redmond, WA 98052-1510 - Phone
- (425) 556-6300
- NPI assigned
- Nov 19, 2020
- 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 | 00007355 | WA | Primary |
Addresses
Primary practice location
15809 Bear Creek Pkwy Ste 140
Redmond, WA 98052-1510
Mailing address
15809 Bear Creek Pkwy Ste 140
Redmond, WA 98052-1510
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00007355 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1760085021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15809 BEAR CREEK PKWY STE 140",
"city": "REDMOND",
"state": "WA",
"postal_code": "980521510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15809 BEAR CREEK PKWY STE 140",
"city": "REDMOND",
"state": "WA",
"postal_code": "980521510",
"telephone_number": "425-556-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIRUSSO",
"first_name": "JULIE",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-19",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "00007355",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "15809 Bear Creek Pkwy Ste 140",
"city": "Redmond",
"state": "WA",
"country_code": "US",
"postal_code": "980521510",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Redmond, WA
- Jennifer Lynne Dierenfeld, SLP
- Brian Joseph Dillon, DDS
- Tina Le Dinh, DDS
- Anna Dinoto, MA, LMHC
- Angela M Diraimo, LMT
- Discovery Hub Therapies PLLC (Teamwork Therapies)
- Thomas Robert Divis, LMT
- Doris Djorgee I
- Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC (Redmond Endodontics)
- Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.