Active NPI
Jonathan Michael Jurgens, DPT
- Physical Therapist
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 115141
- Practice address
- 4008 S Yale Ave # 102
Tulsa, OK 74135-6017 - Phone
- (918) 622-4278
- NPI assigned
- May 23, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 13007 | TN | |
| Physical Therapist | 225100000X | 115141 | OK | Primary |
Addresses
Primary practice location
4008 S Yale Ave # 102
Tulsa, OK 74135-6017
Mailing address
1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (812) 628-3060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4802 S 109TH E Ave
Tulsa, OK 74146-5822
Phone (918) 392-1513
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.33 of 100
- Quality
- 61.03
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13007 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redbud Physical Therapy LLC | Current | Accepting new patients | |
| Tulsa Bone & Joint Associates PC | Current | Accepting new patients | |
| Redbud Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Texas Physical Therapy Specialists, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
500 E 141st St
Glenpool, OK 74033
Phone (918) 322-3884
1118 S Main St
Grove, OK 74344
Phone (918) 786-9883
4008 S Yale Ave
Tulsa, OK 74135
Phone (918) 622-4126
4800 S 109th East Ave
Tulsa, OK 74146
Phone (918) 742-2502
4008 S Yale Ave
#102
Tulsa, OK 74135
Phone (918) 622-4278
4802 S 109th East Ave
Tulsa, OK 74146
Phone (918) 392-1513
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1601
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.
-
- Orthopaedic Surgery Physician
- Tulsa, OK
- NPI 1154373132
-
- Physical Therapy Clinic/Center
- Tulsa, OK
- NPI 1710437306
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Skiatook, OK
- NPI 1730831868
-
- Physical Therapist
- New Braunfels, TX
- NPI 1689781338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1083974141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 LYNDON FARM CT STE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235005",
"telephone_number": "812-628-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4008 S YALE AVE # 102",
"city": "TULSA",
"state": "OK",
"postal_code": "741356017",
"telephone_number": "918-622-4278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURGENS",
"first_name": "JONATHAN",
"middle_name": "MICHAEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-23",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "13007",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "115141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.