Individual provider Active NPI

Douglas John Junge, MPT

  • Orthopedic Physical Therapist
  • Norfolk, NE
National Provider Identifier
1174573620
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1147 Issued in NE
Practice address
1220 W Benjamin Ave
Suite 4
Norfolk, NE 68701-2769
Phone
(402) 371-9707
Fax
(402) 371-9719
NPI assigned
May 12, 2006
Last updated
Jul 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1147 NE Primary

Addresses

Primary practice location

1220 W Benjamin Ave
Suite 4
Norfolk, NE 68701-2769

Mailing address

1220 W Benjamin Ave
Suite 4
Norfolk, NE 68701-2769
Phone (402) 371-9707

Other identifiers 1

IdentifierTypeStateIssuer
47076638113MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100908001081 NE Practitioner - Physical Therapist in Private Practice 3274624861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norfolk Physical Therapy PCGroup PAC ID 9234254657, 3 clinicians

Practice addresses (Care Compare)

109 E 2ND St
Tilden, NE 68781-4793
Phone (402) 368-7735

1220 W Benjamin Ave
Suite 4
Norfolk, NE 68701-2769
Phone (402) 371-9707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Norfolk Physical Therapy PC Past Accepting new patients
Tilden Physical Therapy Orthopedic Past Accepting new patients
Norfolk Physcial Therapy Past Accepting new patients
Norfolk Physical Therapy PC Orthopedic Past Accepting new patients
Heartland Physical Therapy, Inc. Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1174573620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 W BENJAMIN AVE",
            "address_2": "SUITE 4",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012769",
            "telephone_number": "402-371-9707",
            "fax_number": "402-371-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W BENJAMIN AVE",
            "address_2": "SUITE 4",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012769",
            "telephone_number": "402-371-9707",
            "fax_number": "402-371-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNGE",
        "first_name": "DOUGLAS",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NE",
            "license": "1147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47076638113",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.

Verify at the official NPI Registry.