Active NPI
Janice Campo Jurado
- Physical Therapist
- Indianapolis, IN
National Provider Identifier
1134483118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 033796-1
- Practice address
- 5980 W 71St St
Suite 102
Indianapolis, IN 46278-2711 - Phone
- (317) 388-0800
- Fax
- (317) 388-0805
- NPI assigned
- Jun 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 033796-1 | NY | Primary |
| Physical Therapist | 225100000X | PT021995 | PA |
Addresses
Primary practice location
5980 W 71St St
Suite 102
Indianapolis, IN 46278-2711
Mailing address
5980 W 71St St
Suite 102
Indianapolis, IN 46278-2711
Phone (317) 388-0800
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
| License | State | Type | Specialty |
|---|---|---|---|
| 033796-1 | NY | MD | Physical Therapist |
| PT021995 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Therapies,Inc | Past | Accepting new patients |
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.
-
- Environmental Modification Occupational Therapist
- Indianapolis, IN
- NPI 1780013607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340582400000",
"number": "1134483118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5980 W 71ST ST",
"address_2": "SUITE 102",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462782711",
"telephone_number": "317-388-0800",
"fax_number": "317-388-0805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5980 W 71ST ST",
"address_2": "SUITE 102",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462782711",
"telephone_number": "317-388-0800",
"fax_number": "317-388-0805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURADO",
"first_name": "JANICE",
"middle_name": "CAMPO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-25",
"last_updated": "2012-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "033796-1",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT021995",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.