Active NPI
Anna Lynn Jurado, P.T.
- Physical Therapist
- Woodhaven, MI
National Provider Identifier
1477959146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501016166
- Practice address
- 26762 Park LN
Woodhaven, MI 48183-4380 - Phone
- (573) 837-7023
- NPI assigned
- Nov 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501016166 | MI | Primary |
Addresses
Primary practice location
26762 Park LN
Woodhaven, MI 48183-4380
Mailing address
26762 Park LN
Woodhaven, MI 48183-4380
Phone (573) 837-7023
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 |
|---|---|---|---|
| 5501016166 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415318400000",
"number": "1477959146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26762 PARK LN",
"city": "WOODHAVEN",
"state": "MI",
"postal_code": "481834380",
"telephone_number": "573-837-7023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26762 PARK LN",
"city": "WOODHAVEN",
"state": "MI",
"postal_code": "481834380",
"telephone_number": "573-837-7023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURADO",
"first_name": "ANNA LYNN",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-07",
"last_updated": "2014-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501016166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodhaven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.