Active NPI
Julie M Hancock, P.T.
- Physical Therapist
- Simi Valley, CA
National Provider Identifier
1861711756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 36311
- Practice address
- 1687 Erringer Rd Ste 109
Simi Valley, CA 93065-6509 - Phone
- (805) 584-8054
- Fax
- (805) 584-2437
- NPI assigned
- May 18, 2010
- Last updated
- May 18, 2010
- 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 | 36311 | CA | Primary |
Addresses
Primary practice location
1687 Erringer Rd Ste 109
Simi Valley, CA 93065-6509
Mailing address
1687 Erringer Rd Ste 109
Simi Valley, CA 93065-6509
Phone (805) 584-8054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Divine Health Provider Physical Therapy Inc | Past | Accepting new patients | |
| Simi Valley Therapies West, Inc. | Physical Therapist | Past | Accepting new patients |
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.
-
dba Simi Physical Therapy Center
- Physical Therapy Clinic/Center
- Simi Valley, CA
- NPI 1386899763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274140800000",
"number": "1861711756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1687 ERRINGER RD STE 109",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930656509",
"telephone_number": "805-584-8054",
"fax_number": "805-584-2437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1687 ERRINGER RD STE 109",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930656509",
"telephone_number": "805-584-8054",
"fax_number": "805-584-2437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOCK",
"first_name": "JULIE",
"middle_name": "M",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-18",
"last_updated": "2010-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "36311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.