Rebecca Jergens

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

60600833 Issued in WA

Practice address

3823 Delridge Way SW
Seattle, WA 98106

Phone

(206) 301-0600

NPI assigned

Sep 30, 2015

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

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Upward Physical Therapy and Wellness LLCGroup PAC ID 5092133678, 8 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.

• Upward Physical Therapy and Wellness LLC

  • Physical Therapy Clinic/Center
  • Seattle, WA
  • NPI 1124632609

  WA

  Medicare reassignment Care Compare group NPD
• Washington Luna Care Physical Therapy LLC

  • Physical Therapist
  • Bellevue, WA
  • NPI 1346808052
  Medicare reassignment NPD
• Martha Lake Physical Therapy Inc

  • Physical Therapist
  • Lynnwood, WA
  • NPI 1104265412
  NPD (past)
• Sound Physical Therapy

  • Clinic/Center
  • Seattle, WA
  • NPI 1487786448
  NPD (past)

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1851761001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 40TH AVE SW APT A502",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164373",
            "telephone_number": "206-321-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3823 DELRIDGE WAY SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98106",
            "telephone_number": "206-301-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERGENS",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60600833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greta Jerdo
• Jere & Krishna, PLLC
• Deepali Jere, BDS, MPH, MS
• Joseph Andrew Jereczek, DPT
• Travis Scott Jeremiah
• Brea Jermstad
• Elizabeth Jernberg, MD
• Timothy J. Jernberg, M.D.
• Darrel W Jernigan, CG 61020545
• Peggy R Jernigan, R.D.

• Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.