Active NPI
Douglas John Junge, MPT
- Orthopedic Physical Therapist
- Norfolk, NE
National Provider Identifier
1174573620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1147
- 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, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47076638113 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
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
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
| Organization | Specialty | Status | New 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.
-
- Physical Therapy Clinic/Center
- Norfolk, NE
- NPI 1457664765
-
- Physical Therapy Clinic/Center
- Norfolk, NE
- NPI 1063784346
-
- Orthopedic Physical Therapist
- Norfolk, NE
- NPI 1760753461
-
- Orthopedic Physical Therapist
- Tilden, NE
- NPI 1063790558
-
- Physical Therapy Clinic/Center
- Norfolk, NE
- NPI 1841214426
-
- Physical Therapy Clinic/Center
- Norfolk, NE
- NPI 1326475781
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.