Jeffrey Marvin Jue, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT295010 Issued in CA

Practice address

11560 W Pico Blvd
Los Angeles, CA 90064-1520

Phone

(310) 477-8285

Fax

(310) 477-9642

NPI assigned

Jun 29, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Exer Medical Corporation

  • Urgent Care Clinic/Center
  • Calabasas, CA
  • NPI 1588901532
  Medicare reassignment Care Compare group NPD
• Anaheim Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Anaheim, CA
  • NPI 1962680033
  Medicare reassignment NPD
• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment NPD
• Jue Physical Therapy

  • Physical Therapy Clinic/Center
  • Pasadena, CA
  • NPI 1225708696
  NPD Authorized official
• Anaheim Urgent Care

  • Urgent Care Clinic/Center
  • Culver City, CA
  • NPI 1295127546
  NPD
• Anaheim Urgent Care, Inc

  • Urgent Care Clinic/Center
  • Beverly Hills, CA
  • NPI 1619682788
  NPD

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1639664824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11560 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641520",
            "telephone_number": "310-477-8285",
            "fax_number": "310-477-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11560 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641520",
            "telephone_number": "310-477-8285",
            "fax_number": "310-477-9642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 N La Brea Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900287504",
            "country_code": "US",
            "telephone_number": "323-464-1336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 S Raymond Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "91105",
            "country_code": "US",
            "telephone_number": "626-795-0800",
            "fax_number": "626-795-7374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUE",
        "first_name": "JEFFREY",
        "middle_name": "MARVIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-29",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT295010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA PT LICENSE",
            "identifier": "PT295010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Judson, RDN
• Kenneth L Judson Sr.
• Seth David Judson, MD
• Judy C. Liao O.D. Inc
• Gregory Jue, PT
• Lance Jue, PHARM.D.
• Julia Juechter
• Michaela Juels
• Raven Lynn Juergensen, APCC, ATR-P
• Roel Quilang Jugao, RRT, RCP

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.