Individual provider Active NPI

Travis Douglas Jurgens, PT DPT

  • Physical Therapist
  • Monterey, CA
National Provider Identifier
1598138224
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
43232 Issued in CA
Practice address
500 Lighthouse Ave Ste B
Monterey, CA 93940-1423
Phone
(831) 375-5909
Fax
(831) 375-7259
NPI assigned
Nov 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 43232 CA Primary

Addresses

Primary practice location

500 Lighthouse Ave Ste B
Monterey, CA 93940-1423

Mailing address

500 Lighthouse Ave Ste B
Monterey, CA 93940-1423
Phone (831) 375-5909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160502002248 CA Practitioner - Physical Therapist in Private Practice 2365741089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 Lighthouse Ave
Suite B
Monterey, CA 93940-1423
Phone (831) 375-5909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Physical Therapy and Sports Rehabilitation Center, Inc. Physical Therapist CurrentSince Nov 2, 2015 Accepting new patients

Locations

500 Lighthouse Ave
#B
Monterey, CA 93940
Phone (831) 375-5909

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1598138224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LIGHTHOUSE AVE STE B",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939401423",
            "telephone_number": "831-375-5909",
            "fax_number": "831-375-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LIGHTHOUSE AVE STE B",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939401423",
            "telephone_number": "831-375-5909",
            "fax_number": "831-375-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURGENS",
        "first_name": "TRAVIS",
        "middle_name": "DOUGLAS",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-03",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.