Carol Ann Jurca, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160003372 Issued in IL

Practice address

4390 Route 71
Oswego, IL 60543-9866

Phone

(630) 554-1001

Fax

(630) 554-1668

NPI assigned

Sep 3, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1063660058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4390 ROUTE 71",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439866",
            "telephone_number": "630-554-1001",
            "fax_number": "630-554-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4390 ROUTE 71",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439866",
            "telephone_number": "630-554-1001",
            "fax_number": "630-554-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURCA",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "P.T.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160003372",
            "primary": true
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Elise Johnson Berrios
• Heather A Johnson, LCSW
• Jonathan Patrick Ruiz
• Tracy Beth Jones, BCBA
• Lisa Junger, MA, LPC
• Henry Kadlec
• Brianne Kalusniak, LCSW
• Aaysha Kapila, M.D
• John W Karesh, MD
• Emily Jane Kath, LCSW

• Physical Therapy Assistant in Oswego, IL
• Providers in Oswego, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.