Individual provider Active NPI

Julie Craig, P.T.

  • Physical Therapist
  • Sherman Oaks, CA
National Provider Identifier
1922190032
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21349 Issued in CA
Practice address
14116 Magnolia Blvd
Sherman Oaks, CA 91423-1119
Phone
(818) 789-3819
Fax
(818) 789-3546
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 PT21349 CA Primary

Addresses

Primary practice location

14116 Magnolia Blvd
Sherman Oaks, CA 91423-1119

Mailing address

PO Box 278
Castaic, CA 91310-0278
Phone (818) 789-3819

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040920001196 CA Practitioner - Physical Therapist in Private Practice 5193793933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia Oaks Physical Therapy ApcGroup PAC ID 1557759206, 3 clinicians

Practice addresses (Care Compare)

14116 Magnolia Blvd
Sherman Oaks, CA 91423-1119
Phone 8187893819106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT21349CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert N. Mettam, P.T., Physical Therapist, Inc. Physical Therapist CurrentSince Jan 7, 1999 Accepting new patients
Magnolia Oaks Physical Therapy Apc Physical Therapist CurrentSince Oct 1, 2021 Accepting new patients
Robert N. Mettam, P.T., Physical Therapist, Inc. Physical Therapist CurrentSince Jan 7, 1999 Accepting new patients

Locations

30135 Agoura Rd
Ste C
Agoura Hills, CA 91301
Phone (818) 707-7344

18420 Hart St
Reseda, CA 91335
Phone (818) 344-8378

14116 Magnolia Blvd
Sherman Oaks, CA 91423
Phone (818) 789-3819

1000 Newbury Rd
Ste 135
Thousand Oaks, CA 91320
Phone (805) 214-9933

Organizations & group practices 3

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1922190032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "CASTAIC",
            "state": "CA",
            "postal_code": "913100278",
            "telephone_number": "818-789-3819",
            "fax_number": "818-789-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14116 MAGNOLIA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914231119",
            "telephone_number": "818-789-3819",
            "fax_number": "818-789-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "JULIE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.