Jose Bugay, D.P.T.

Individual provider Active NPI Physical Therapist · Freedom, CA

NPI 1801282926 · NPPES record last updated Sep 25, 2018

Key facts

NPI
1801282926
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT 27295 (CA)
Practice address
212 Green Valley Rd
Freedom, CA 95019-3135
Phone
(831) 536-5500
Fax
(833) 264-6644
NPI assigned
Apr 15, 2015
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

212 Green Valley Rd
Freedom, CA 95019-3135
Phone (831) 536-5115

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150612002056 CA Practitioner - Physical Therapist in Private Practice 8325359672 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT 27295CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
J. B. Physical Therapy, Inc. Physical Therapist Current
since Oct 1, 2018
Accepting new patients
Action Physical Therapy Partners, Inc Past
since Apr 22, 2015
Accepting new patients

Locations

212 Green Valley Rd
Freedom, CA 95019
Phone (831) 536-5115

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 27295 CA Yes

Addresses

Primary practice location

212 Green Valley Rd
Freedom, CA 95019-3135

Mailing address

212 Green Valley Rd
Freedom, CA 95019-3135
Phone (831) 536-5500

Other practice location 1

680 E Romie Ln
Salinas, CA 93901-4206
Phone (831) 758-5338

Other providers in Freedom, CA

All providers in Freedom, CA · Physical Therapist in California

Sources for this page

Verify at the official NPI Registry.