Active NPI
Justin F Kurtz, CRT
- Certified Respiratory Therapist
- Wagoner, OK
National Provider Identifier
1376943571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- 2424
- Practice address
- 1200 W. Cherokee
Suite H Cardiac/Pulmonary Rehab
Wagoner, OK 74467 - Phone
- (918) 485-1392
- Fax
- (918) 485-1398
- NPI assigned
- Aug 26, 2014
- 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 |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | 2424 | OK | Primary |
Addresses
Primary practice location
1200 W. Cherokee
Suite H Cardiac/Pulmonary Rehab
Wagoner, OK 74467
Mailing address
1200 W Cherokee St
Suite H Cardiac/Pulmonary Rehab
Wagoner, OK 74467-4624
Phone (918) 485-1392
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 |
|---|---|---|---|
| 2424 | OK | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1376943571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W CHEROKEE ST",
"address_2": "SUITE H CARDIAC/PULMONARY REHAB",
"city": "WAGONER",
"state": "OK",
"postal_code": "744674624",
"telephone_number": "918-485-1392",
"fax_number": "918-485-1398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W. CHEROKEE",
"address_2": "SUITE H CARDIAC/PULMONARY REHAB",
"city": "WAGONER",
"state": "OK",
"postal_code": "74467",
"telephone_number": "918-485-1392",
"fax_number": "918-485-1398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURTZ",
"first_name": "JUSTIN",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "CRT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-26",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "OK",
"license": "2424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wagoner, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.