Individual provider Active NPI

Julienne R. Duenas, P.T.

  • Physical Therapist
  • Tamuning, GU
National Provider Identifier
1972713402
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
GUAMPT016 Issued in GU
Practice address
241 Farenholt Ave
Oka BLDG. Ste# 201
Tamuning, GU 96913-3222
Phone
(671) 647-0110
Fax
(671) 647-0112
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 GUAMPT016 GU Primary

Addresses

Primary practice location

241 Farenholt Ave
Oka BLDG. Ste# 201
Tamuning, GU 96913-3222

Mailing address

241 Farenholt Ave
Oka BLDG. Ste# 201
Tamuning, GU 96913-3222
Phone (671) 647-0110

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
GUAMPT016GUMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972713402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 FARENHOLT AVE",
            "address_2": "OKA BLDG. STE# 201",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133222",
            "telephone_number": "671-647-0110",
            "fax_number": "671-647-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 FARENHOLT AVE",
            "address_2": "OKA BLDG. STE# 201",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133222",
            "telephone_number": "671-647-0110",
            "fax_number": "671-647-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUENAS",
        "first_name": "JULIENNE",
        "middle_name": "R.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GU",
            "license": "GUAMPT016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.