Individual provider Active NPI

Julie Countryman Neushul, MS, DPT

  • Physical Therapist
  • Cardiff, CA
National Provider Identifier
1770026775
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 19747 Issued in CA
Practice address
2063 San Elijo Ave
Suite 2063
Cardiff, CA 92007-1726
Phone
(760) 692-4735
NPI assigned
Nov 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 19747 CA Primary

Addresses

Primary practice location

2063 San Elijo Ave
Suite 2063
Cardiff, CA 92007-1726

Mailing address

4405 Sunnyhill Dr
Carlsbad, CA 92008-3662
Phone (760) 805-9419

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT 19747CAMDPhysical Therapist
19747CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1770026775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 SUNNYHILL DR",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920083662",
            "telephone_number": "760-805-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2063 SAN ELIJO AVE",
            "address_2": "SUITE 2063",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920071726",
            "telephone_number": "760-692-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUSHUL",
        "first_name": "JULIE",
        "middle_name": "COUNTRYMAN",
        "credential": "MS, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 19747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cardiff, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.