Individual provider · Type 1 NPI

Jordan Lewis Bugarske, PTA

Physical Therapy Assistant · South Lake Tahoe, CA

NPI number 1316480981 Active

Practice location

2170 South Ave
South Lake Tahoe, CA 96150-7026

Call (530) 543-5896 Map

Fax (530) 544-6512

Mailing address

PO Box 9578
South Lake Tahoe, CA 96158-9578

Other practice locations

  • 1139 3rd St, South Lake Tahoe, CA 96150-3465 · (530) 543-5706
  • 155 Highway 50 Fl 2, Stateline, NV 89449-9816 · (775) 589-8953

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000XA-0930 (NV)
Physical Therapy Assistant Primary 225200000X9220 (CA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1316480981

Jordan Lewis Bugarske, PTA's National Provider Identifier is 1316480981, issued on Nov 29, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Mar 17, 2018.