Individual provider Active NPI

Julie R Kresl, PT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1902942394
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4020 Issued in AZ
Practice address
717 W. Dunlap Avenue, Suite 100
Phoenix, AZ 85021
Phone
(602) 944-2146
Fax
(602) 944-2176
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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 4020 AZ Primary

Addresses

Primary practice location

717 W. Dunlap Avenue, Suite 100
Phoenix, AZ 85021

Mailing address

717 W. Dunlap Avenue, Suite 100
Phoenix, AZ 85021
Phone (602) 944-2146

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080404000308 AZ Practitioner - Physical Therapist in Private Practice 6709963465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9097 E Desert Cove Ave
Suite 110
Scottsdale, AZ 85260-6276
Phone (480) 924-5514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4020AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spooner Physical Therapy and Hand Rehab, PC Physical Therapist CurrentSince Aug 1, 2016 Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC CurrentSince Aug 1, 2016 Accepting new patients

Locations

717 W Dunlap Ave
Ste 100
Phoenix, AZ 85021
Phone (602) 944-2146

15255 N 40th St
Ste 123
Phoenix, AZ 85032
Phone (480) 502-5361

16620 N 40th St
Ste I4
Phoenix, AZ 85032
Phone (480) 502-5361

9097 E Desert Cove Ave
Ste 110
Scottsdale, AZ 85260
Phone (480) 860-4298

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1902942394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 W. DUNLAP AVENUE, SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85021",
            "telephone_number": "602-944-2146",
            "fax_number": "602-944-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 W. DUNLAP AVENUE, SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85021",
            "telephone_number": "602-944-2146",
            "fax_number": "602-944-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRESL",
        "first_name": "JULIE",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "4020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.