Active NPI
Julie Cano Gomez, P.T. M.A.
- Physical Therapist
- Pasadena, CA
National Provider Identifier
1821173063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10054
- Practice address
- 145 N Sierra Madre Blvd
Ste 8
Pasadena, CA 91107-3371 - Phone
- (626) 396-6958
- Fax
- (626) 396-6960
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 10054 | CA | Primary |
Addresses
Primary practice location
145 N Sierra Madre Blvd
Ste 8
Pasadena, CA 91107-3371
Mailing address
145 N Sierra Madre Blvd
Ste 8
Pasadena, CA 91107-3371
Phone (626) 396-6958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061212000638 | CA | Practitioner - Physical Therapist in Private Practice | 8527067909 | Practice locations: Pasadena, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
145 N Sierra Madre Blvd
Suite 8
Pasadena, CA 91107-3371
Phone (626) 396-6958
145 N Sierra Madre Blvd
Suite 8
Pasadena, CA 91107-3382
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10054 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821173063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 N SIERRA MADRE BLVD",
"address_2": "STE 8",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073371",
"telephone_number": "626-396-6958",
"fax_number": "626-396-6960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 N SIERRA MADRE BLVD",
"address_2": "STE 8",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073371",
"telephone_number": "626-396-6958",
"fax_number": "626-396-6960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "JULIE",
"middle_name": "CANO",
"name_prefix": "Mrs.",
"credential": "P.T. M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "10054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.