Jerline Tuggle

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

101799 Issued in MO

Practice address

1310 Papin St Ste 109
Saint Louis, MO 63103-3132

Phone

(314) 690-9995

Fax

(314) 558-2600

NPI assigned

Feb 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Therapy Services, LLCGroup PAC ID 6709808546, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Innovative Therapy Services, LLC

  dba Mobile Physical Therapy

  • Physical Therapist
  • Saint Louis, MO
  • NPI 1912100165
  Medicare reassignment Care Compare group NPD
• Innovative Therapy Initiative

  • Physical Therapist
  • Saint Louis, MO
  • NPI 1851258743
  Medicare reassignment NPD

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1215560834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 PAPIN ST STE 109",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631033132",
            "telephone_number": "314-690-9995",
            "fax_number": "314-558-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 PAPIN ST STE 109",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631033132",
            "telephone_number": "314-690-9995",
            "fax_number": "314-558-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUGGLE",
        "first_name": "JERLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "101799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101779",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Tucker, R.PH.
• Shannon L Tucker, AGPCNP
• Susan M Tucker, OT
• Tuckey and Associates Physical Therapy Services Inc.
• Michael Tuckey, PT
• Tugman Dialysis LLC (Chambers Dialysis)
• Mandi Jo Tuhro, FNP
• Sibghat Tul Llah, MD
• Devora Tulcensky, PH.D.
• Gerald Tullman

• Physical Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.