Brona Christina Jurgensen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

30144 Issued in CA

Practice address

1250 N Bellflower Blvd
Kin 105
Long Beach, CA 90840-4704

Phone

(562) 985-8286

Fax

(562) 985-4266

NPI assigned

Jun 19, 2012

Last updated

Jun 6, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Focus on Health a Physical Therapy Corporation

  • Physical Therapist
  • Newport Beach, CA
  • NPI 1386854743
  NPD

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1720341258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 BELLFLOWER BLVD.",
            "address_2": "KIN 105",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908404704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 N BELLFLOWER BLVD",
            "address_2": "KIN 105",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908404704",
            "telephone_number": "562-985-8286",
            "fax_number": "562-985-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURGENSEN",
        "first_name": "BRONA",
        "middle_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "30144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.