Individual provider Active NPI

Juli Jean Carrion, PT

  • Physical Therapist
  • Silver Spring, MD
National Provider Identifier
1861015455
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18946 Issued in MD
Practice address
12041 Bournefield Way Ste B
Silver Spring, MD 20904-7908
Phone
(301) 592-4400
NPI assigned
May 18, 2020
Last updated
May 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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 18946 MD Primary

Addresses

Primary practice location

12041 Bournefield Way Ste B
Silver Spring, MD 20904-7908

Mailing address

12041 Bournefield Way Ste B
Silver Spring, MD 20904-7908

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address buttonsgsray@hotmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200528002121 DC Practitioner - Physical Therapist in Private Practice 4082035134 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18946MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab PT MD LLC Physical Therapist CurrentSince Jun 1, 2023 Accepting new patients
Fox Rehabilitation Services LLC Physical Therapist CurrentSince Jun 1, 2023 Accepting new patients

Locations

11665 Doolittle Dr
Waldorf, MD 20602
Phone (301) 638-4100

7 Carnegie Plz
Cherry Hill, NJ 08003

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1861015455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12041 BOURNEFIELD WAY STE B",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12041 BOURNEFIELD WAY STE B",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047908",
            "telephone_number": "301-592-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRION",
        "first_name": "JULI",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "18946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "buttonsgsray@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "home email",
            "address_1": "12041 Bournefield Way Ste B",
            "city": "Silver Spring",
            "state": "MD",
            "country_code": "US",
            "postal_code": "209047908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.