Active NPI
Brad A Jongejan, DPT
- Physical Therapist
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 4411 San Mateo Blvd NE Ste 11
Albuquerque, NM 87109-2011 - Phone
- (515) 217-3907
- Fax
- (505) 348-0063
- NPI assigned
- Aug 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00010271 | WA | |
| Physical Therapist | 225100000X | NM | Primary |
Addresses
Primary practice location
4411 San Mateo Blvd NE Ste 11
Albuquerque, NM 87109-2011
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206
Other practice location 1
35 Technology Pkwy S
Ste 150
Norcross, GA 30092-2996
Phone (770) 416-2340
Other practice location 2
16310 Bothell Everett Hwy Ste C
Mill Creek, WA 98012-1284
Phone (425) 582-5526
Other practice location 3
4220 Hoyt Ave
Everett, WA 98203-2317
Phone (425) 258-5330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, NM
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4411 San Mateo Blvd NE
Suite E11
Albuquerque, NM 87109-2029
Phone (630) 296-2223
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.33 of 100
- Quality
- 88.06
- Improvement activities
- 40
- Cost
- 76.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00010271 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apple Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy at Dawn, LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
6330 Riverside Plaza Ln NW
Albuquerque, NM 87120
Phone (505) 312-7930
600 Central Ave SE
Ste D
Albuquerque, NM 87102
Phone (505) 242-2294
4411 San Mateo Blvd NE
Ste 11
Albuquerque, NM 87109
Phone (505) 217-3907
4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330
32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852
130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300
16310 Bothell Hwy
Ste C
Mill Creek, WA 98012
Phone (425) 582-5526
Networks
- Freedom Health HMO Network
Organizations & group practices 3
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.
-
dba ATI Physical Therapy
- Physical Therapist
- Albuquerque, NM
- NPI 1780695551
-
dba ATI Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Mountlake Terrace, WA
- NPI 1366746232
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1952593642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "866-370-8206",
"fax_number": "517-435-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 SAN MATEO BLVD NE STE 11",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871092011",
"telephone_number": "515-217-3907",
"fax_number": "505-348-0063"
}
],
"practiceLocations": [
{
"address_1": "35 Technology Pkwy S",
"address_2": "Ste 150",
"address_purpose": "LOCATION",
"city": "Norcross",
"state": "GA",
"postal_code": "300922996",
"country_code": "US",
"telephone_number": "770-416-2340",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16310 Bothell Everett Hwy Ste C",
"address_purpose": "LOCATION",
"city": "Mill Creek",
"state": "WA",
"postal_code": "980121284",
"country_code": "US",
"telephone_number": "425-582-5526",
"fax_number": "425-245-1019",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4220 Hoyt Ave",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982032317",
"country_code": "US",
"telephone_number": "425-258-5330",
"fax_number": "425-258-6118",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONGEJAN",
"first_name": "BRAD",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-15",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00010271",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.