Julie R Casserly, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT3608 Issued in CA

Practice address

19210 Ford Ave
Desert Hot Springs, CA 92241-8575

Phone

(760) 251-2529

NPI assigned

Mar 10, 2008

Last updated

Mar 10, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1871763474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19210 FORD AVE",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922418575",
            "telephone_number": "760-251-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19210 FORD AVE",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922418575",
            "telephone_number": "760-251-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSERLY",
        "first_name": "JULIE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT3608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Assistant in Desert Hot Springs, CA
• Providers in Desert Hot Springs, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.