Individual provider Active NPI

Lisa Margaret W Jurski, PT

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1982823605
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1354057 Issued in TX
Practice address
2207 Hancock Dr
Austin, TX 78756-2508
Phone
(312) 339-7269
Fax
(312) 782-1840
NPI assigned
Apr 24, 2007
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070011657 IL
Physical Therapist 225100000X 1354057 TX Primary

Addresses

Primary practice location

2207 Hancock Dr
Austin, TX 78756-2508

Mailing address

2207 Hancock Dr
Austin, TX 78756-2508
Phone (312) 339-7269

Other practice location 1

150 E Huron St
Suite 901
Chicago, IL 60611-2999
Phone (312) 640-1112

Other practice location 2

1750 N Kingsbury St
Chicago, IL 60614-4813
Phone (312) 339-7269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2207 Hancock Dr
Austin, TX 78756-2508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070011657ILMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1982823605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 HANCOCK DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562508",
            "telephone_number": "312-339-7269",
            "fax_number": "312-782-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 HANCOCK DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562508",
            "telephone_number": "312-339-7269",
            "fax_number": "312-782-1840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 E Huron St",
            "address_2": "Suite 901",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112999",
            "country_code": "US",
            "telephone_number": "312-640-1112",
            "fax_number": "312-640-1011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1750 N Kingsbury St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606144813",
            "country_code": "US",
            "telephone_number": "312-339-7269",
            "fax_number": "312-850-5971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JURSKI",
        "first_name": "LISA MARGARET",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070011657",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1354057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.