MEDICARE: JU HYUNG JUNG P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	7776	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477812758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JU HYUNG JUNG P.T.

Provider Business Mailing Address
First Line	:	7290 SAMUEL DR STE 205
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80221-2796
Country	:	US
Telephone Number	:	303-430-6475
Fax Number	:	303-426-3209

Provider Business Practice Location Address
First Line	:	7290 SAMUEL DR STE 205
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80221-2796
Country	:	US
Telephone Number	:	303-430-6475
Fax Number	:	303-426-3209

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2012
Last Update Date	:	09/11/2025

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