Junction Bracing & PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

JUNCTION BRACING & PT

Practice address

4924D Sean Drive
Imperial, MO 63052

Phone

(636) 224-8744

NPI assigned

May 27, 2020

Organization subpart

No

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

Authorized official

Name

Julie Christine Watkins, PTNPI 1114012515

Title

Owner

Phone

(314) 265-0033

Specialties & licenses 1

Addresses

Other names 1

• EmBrace Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Christine Watkins, PT, DPT, OCS, ATC

  • Physical Therapist
  • Creve Coeur, MO
  • NPI 1114012515
  Medicare reassignment Care Compare group NPD Authorized official
• Holly E Surber, P.T.

  • Physical Therapist
  • Creve Coeur, MO
  • NPI 1649386426
  Medicare reassignment Care Compare group NPD
• Bonnie Joyce Burke, PT, MTC

  • Physical Therapist
  • Saint Louis, MO
  • NPI 1043244478
  Medicare reassignment NPD

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1801419601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4537 BRIGHTON CT",
            "city": "HIGH RIDGE",
            "state": "MO",
            "postal_code": "630493239",
            "telephone_number": "314-265-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4924D SEAN DRIVE",
            "city": "IMPERIAL",
            "state": "MO",
            "postal_code": "63052",
            "telephone_number": "636-224-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNCTION BRACING & PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-265-0033",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EmBrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Hawthorne
• Amber Hennrich
• Nathaniel B Hodges
• Thomas Davant Johns, PH.D.
• Charles J Johnson, DC
• Olivia Dawn Kernebeck
• Courtney Jean Krake
• Jodee Lamp, IBCLC, MS, NUTR
• Daniel Christopher Leach, DC
• Debra Lever

• Orthopedic Physical Therapist in Imperial, MO
• Providers in Imperial, MO by specialty
• Orthopedic Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.