Active NPI
Jenna Sue Jurrens, DPT
- Physical Therapist
- Warner Robins, GA
National Provider Identifier
1619255304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010370
- Practice address
- 405 Osigian Blvd
Warner Robins, GA 31088-8958 - Phone
- (478) 953-3535
- Fax
- (478) 953-0353
- NPI assigned
- Jul 28, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT010370 | GA | Primary |
Addresses
Primary practice location
405 Osigian Blvd
Warner Robins, GA 31088-8958
Mailing address
405 Osigian Boulevard
Warner Robins, GA 31088
Phone (478) 953-3535
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311811200000",
"number": "1619255304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 OSIGIAN BOULEVARD",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "31088",
"telephone_number": "478-953-3535",
"fax_number": "478-953-0353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 OSIGIAN BLVD",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310888958",
"telephone_number": "478-953-3535",
"fax_number": "478-953-0353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURRENS",
"first_name": "JENNA",
"middle_name": "SUE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-28",
"last_updated": "2011-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT010370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.