Steven Christopher Jurjevich, MPT
Physical Therapist in Red Oak, IA. Individual provider (NPI-1).
NPI number1104016450
StatusActive
Last updated in NPPESAug 1, 2007
Details
- NPI
- 1104016450
- Entity type
- Individual (NPI-1)
- Name
- Mr. Steven Christopher Jurjevich
- Credential
- MPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2007
- Last updated
- Aug 1, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 03419 | IA | Yes |
Practice location
2301 Eastern AveRed Oak, IA 51566-0000
Phone 712-623-7163
Mailing address
2301 Eastern AvenueRed Oak, IA 51566
Phone 715-623-7163
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 12 Physical Therapist providers in Red Oak · All 154 providers in Red Oak
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