MR. JURGEN B JANSEN (PT, MDT CERT, CLT) – Physical Therapist, NPI 1124180617

MR. JURGEN B JANSEN (PT, MDT CERT, CLT) is a healthcare provider. based in Livonia, Michigan. specializing in Physical Therapist. They hold the professional credentials PT, MDT CERT, CLT. They hold a License No. 5501004261 (MI). The NPI Number for MR. JURGEN B JANSEN (PT, MDT CERT, CLT) is 1124180617

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
MR. JURGEN B JANSEN (PT, MDT CERT, CLT)
NPI
1124180617
Phone
(734) 542-9770
Address
14555 LEVAN RD
Enumeration Date
14 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7345420200
Graduation Year
1989 (37 years ago)
PAC ID
4789618125
Group Practice PAC ID
8426008368
Professional Enrollment ID
I20051011000657
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MR. JURGEN B JANSEN (PT, MDT CERT, CLT)

  • 14555, Levan Road, Livonia, Wayne County, Michigan, 48154, United States

    SUITE 215B

    LIVONIA, MI 481545083

    Phone: (734) 542-9770

    Type: Location

  • 1209, Sherman Street, Normal Park, Ypsilanti, Washtenaw County, Michigan, 48197, United States

    YPSILANTI, MI 481974630

    Phone: (734) 487-8114

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48154)

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Provider's Procedures

MR. JURGEN B JANSEN (PT, MDT CERT, CLT) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMI97001Physical therapy evaluation4137

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426008368View full group profile
NameSpecialtyState
-MI
Physician AssistantMI
Physician AssistantMI
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Physician AssistantMI
Family Practice, Geriatric MedicineMI
C H I R O P R A C T I CMI
Physician AssistantMI

Reviews

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Frequently asked questions

How is MR. JURGEN B JANSEN (PT, MDT CERT, CLT) identified in CMS data?
CMS-hosted NPPES data lists MR. JURGEN B JANSEN (PT, MDT CERT, CLT) with NPI 1124180617.
Is MR. JURGEN B JANSEN (PT, MDT CERT, CLT) listed as active for patients and plans?
The listing shows MR. JURGEN B JANSEN (PT, MDT CERT, CLT) as active in the NPI system.
What is MR. JURGEN B JANSEN (PT, MDT CERT, CLT)'s primary classification?
Physical Therapist is the headline specialty for MR. JURGEN B JANSEN (PT, MDT CERT, CLT) here. Clinical services aligned with this taxonomy classification.
What address line appears for MR. JURGEN B JANSEN (PT, MDT CERT, CLT)?
MR. JURGEN B JANSEN (PT, MDT CERT, CLT)'s geographic hint is Livonia, Michigan in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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