Active NPI
Juie Mesvani
- Physical Therapist
- Auburn, WA
National Provider Identifier
1780237743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60950234
- Practice address
- 32049 109TH PL SE Ste a
Auburn, WA 98092-2567 - Phone
- (253) 876-1100
- NPI assigned
- Jul 18, 2019
- Last updated
- Apr 8, 2022
- 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 | 60950234 | WA | Primary |
Addresses
Primary practice location
32049 109TH PL SE Ste a
Auburn, WA 98092-2567
Mailing address
24205 SE 40TH PL
Sammamish, WA 98029-6513
Phone (309) 660-9597
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220415000038 | WA | Practitioner - Physical Therapist in Private Practice | 0840686077 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60950234 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1780237743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24205 SE 40TH PL",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980296513",
"telephone_number": "309-660-9597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32049 109TH PL SE STE A",
"city": "AUBURN",
"state": "WA",
"postal_code": "980922567",
"telephone_number": "253-876-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESVANI",
"first_name": "JUIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-18",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "60950234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, WA
- Barbra Menendez, MA60129750
- Banche A Mengistu, CNA, AAC
- Beverly Cruz Menjivar
- Betelhem B Menkir, RN
- Gayatri Menon, D.O.
- Michael H Chow & Associates PLLC (Lakeland Vision Clinic)
- Steven Robert Middendorf, L.M.P
- Robert Todd Middleton, M.D.
- Lindsay Marie Miles, CMA, PHLEBOTOMY
- Alaine Anette Miller, MOT/OTRL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.