Jeffrey Joseph Juraska, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007976 Issued in CT

Practice address

698 West Ave
Norwalk, CT 06850-3302

Phone

(203) 852-3400

NPI assigned

Jun 19, 2008

Last updated

Jun 19, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in AZ

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • NPI 1629698147
  Medicare reassignment NPD
• PT Coach, LLC

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  • NPI 1407172737
  Authorized official Same address or phone
• Olson Chiropractic & Wellness Center

  • Chiropractor
  • Scottsdale, AZ
  • NPI 1154452589
  NPD

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1225299423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 ADDISON ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067084106",
            "telephone_number": "203-695-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 WEST AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503302",
            "telephone_number": "203-852-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURASKA",
        "first_name": "JEFFREY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Joslyn, RPT
• Journey to Joy, LLC
• Gurjeet Singh Judge, M.D.
• Joan V Judge, M.D.
• Marie D Jules, RN
• K. M Daniel LLC (Daniel Dental Studio)
• Engi Kaba
• Amanda Michelle Kabel, DO
• Ronald Steven Kahan, MD
• Nicole Elizabeth Kaimer

• Physical Therapist in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.