Individual provider Active NPI

Lauri Jugan, MPT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1104266360
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5510 Issued in NC
Practice address
809 Springmoor Dr
Raleigh, NC 27615-7739
Phone
(919) 848-7125
NPI assigned
Jul 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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 5510 NC Primary

Addresses

Primary practice location

809 Springmoor Dr
Raleigh, NC 27615-7739

Mailing address

12601 Waterlow Park LN
Raleigh, NC 27614-8913
Phone (910) 279-1356

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

State licenses

LicenseStateTypeSpecialty
5510NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Springmoor Physical Therapy Center, Inc. Physical Therapist CurrentSince Jul 11, 2013 Accepting new patients

Locations

809 Springmoor Dr
Raleigh, NC 27615
Phone (919) 848-7125

1500 Sawmill Rd
Raleigh, NC 27615
Phone (919) 848-7000

Organizations & group practices 1

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": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1104266360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 WATERLOW PARK LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148913",
            "telephone_number": "910-279-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 SPRINGMOOR DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276157739",
            "telephone_number": "919-848-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUGAN",
        "first_name": "LAURI",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "5510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.