Individual provider Active NPI

Julio Antonio Gutierrez

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1922733674
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
906 NE 45TH St
Seattle, WA 98105-4779
Phone
(206) 347-0414
Fax
(206) 502-1010
NPI assigned
Jul 18, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 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 Primary

Addresses

Primary practice location

906 NE 45TH St
Seattle, WA 98105-4779

Mailing address

11711 NE 12TH St Ste 3a
Bellevue, WA 98005-2461

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230127001872 WA Practitioner - Physical Therapist in Private Practice 6507237674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Management Services PLLCGroup PAC ID 0143500983, 107 clinicians

Practice addresses (Care Compare)

4704 Bridgeport Way W
University Place, WA 98466-4204
Phone (425) 450-9474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Sep 30, 2022 Accepting new patients
Therapy Management Services, PLLC Physical Therapist Current Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Sep 30, 2022 Accepting new patients
Therapy Management Services, PLLC Physical Therapist Past Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

11711 NE 12th St
Ste 3A
Bellevue, WA 98005
Phone (425) 454-1405

814 DuPont St
Bellingham, WA 98225
Phone (360) 671-2900

15500 1st Ave S
Ste 106
Burien, WA 98148
Phone (206) 242-0855

19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991

906 NE 45th St
Seattle, WA 98105
Phone (206) 347-0414

709 Cook Rd
Sedro Woolley, WA 98284
Phone (360) 873-8191

4704 Bridgeport Way W
University Place, WA 98466
Phone (253) 251-2250

Organizations & group practices 4

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": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1922733674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 NE 12TH ST STE 3A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 NE 45TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054779",
            "telephone_number": "206-347-0414",
            "fax_number": "206-502-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "JULIO",
        "middle_name": "ANTONIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.