Tracy Elizabeth Jungwirth

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

014856 Issued in OH

Practice address

8425 Pulsar PL
#160
Columbus, OH 43240-2079

Phone

(614) 734-7777

NPI assigned

Sep 15, 2014

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

Other names 1

• Tracy Elizabeth Butler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Specialized Speech Technologies, Inc.

  • Speech-Language Pathologist
  • Columbus, OH
  • NPI 1629192612
  NPD (past)

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1780085365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 MERGANSER RUN DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432157022",
            "telephone_number": "740-404-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8425 PULSAR PL",
            "address_2": "#160",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432402079",
            "telephone_number": "614-734-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNGWIRTH",
        "first_name": "TRACY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "014856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "BUTLER",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Ann Jung, LPC
• Jessica Yuri Jung, MS, RD, LD
• Michael Peter Jung, DDS
• Stephen S Jung, MD
• Daniel Louis Junge, RPH
• Juniper Therapy & Wellness LLC
• Gretchen Junker, PHARMD
• Tamara Kathleen Juodvalkis
• Marlee Jupp
• Jupries Haven LLC

• Physical Therapist in Columbus, OH
• Providers in Columbus, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.

Verify at the official NPI Registry.