Julie Ann Jackson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT296435 Issued in CA

Practice address

1550 3Rd St
Lincoln, CA 95648-1576

Phone

(916) 645-7761

NPI assigned

Mar 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Julie Ann Hite Other name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Covell Care and Rehabilitation LLCGroup PAC ID 9335223429, 60 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Covell Care and Rehabilitation, LLC

  • Home Health Agency
  • Windsor, CO
  • NPI 1063695351

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Colorado Mobile PT LLC

  • Physical Therapy Clinic/Center
  • Fort Collins, CO
  • NPI 1720678295

  Physical Therapist

  Medicare reassignment NPD
• Body Concepts, Inc.

  • Physical Therapy Clinic/Center
  • Folsom, CA
  • NPI 1912309279
  NPD (past)

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1821558032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 MERIDIAN WAY",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654768",
            "telephone_number": "541-570-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 3RD ST",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956481576",
            "telephone_number": "916-645-7761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "363 Lincoln Blvd",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "CA",
            "postal_code": "956481810",
            "country_code": "US",
            "telephone_number": "916-209-0235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62913",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296435",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT296435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "HITE",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Physical Therapist in Lincoln, CA
• Providers in Lincoln, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.

Verify at the official NPI Registry.