Jurgen B Jansen, PT, MDT CERT, CLT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501004261 Issued in MI

Practice address

14555 Levan Rd
Suite 215B
Livonia, MI 48154-5083

Phone

(734) 542-9770

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Mendelson Orthopedics PC

  • Orthopaedic Surgery Physician
  • Livonia, MI
  • NPI 1720153463
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124180617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 SHERMAN ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481974630",
            "telephone_number": "734-487-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 LEVAN RD",
            "address_2": "SUITE 215B",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545083",
            "telephone_number": "734-542-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "JURGEN",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "PT, MDT CERT, CLT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Jane, D.D.S., M.S.
• Adam David Jankovich, DDS
• Paul Jankowski
• Farid Jano, M.D.
• Alicia M Janowski
• Janus RX LLC
• Ashtar Najor Jarjis, PHARMD
• Babubhai Jarodiya, M.D.
• Donald E Jarvi, MA, LLP, LMSW
• Rebecca Jarvis

• Physical Therapist in Livonia, MI
• Providers in Livonia, MI by specialty
• Physical Therapist in Michigan

• 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.