Active NPI
Julia Surdut Young, PT, DPT
- Physical Therapist
- San Diego, CA
National Provider Identifier
1922351592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 39428
- Practice address
- 2555 Camino del Rio S
102
San Diego, CA 92108-3704 - Phone
- (619) 564-7120
- NPI assigned
- Oct 19, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 39428 | CA | Primary |
Addresses
Primary practice location
2555 Camino del Rio S
102
San Diego, CA 92108-3704
Mailing address
2555 Camino del Rio S
102
San Diego, CA 92108-3704
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469664000000",
"number": "1922351592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 CAMINO DEL RIO S",
"address_2": "102",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 CAMINO DEL RIO S",
"address_2": "102",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083704",
"telephone_number": "619-564-7120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JULIA",
"middle_name": "SURDUT",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-19",
"last_updated": "2016-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "39428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.