Provider Demographics
NPI:1801282926
Name:BUGAY, JOSE (DPT)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:
Last Name:BUGAY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 GREEN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:FREEDOM
Mailing Address - State:CA
Mailing Address - Zip Code:95019-3135
Mailing Address - Country:US
Mailing Address - Phone:831-536-5500
Mailing Address - Fax:833-264-6644
Practice Address - Street 1:212 GREEN VALLEY RD
Practice Address - Street 2:
Practice Address - City:FREEDOM
Practice Address - State:CA
Practice Address - Zip Code:95019-3135
Practice Address - Country:US
Practice Address - Phone:831-536-5500
Practice Address - Fax:833-264-6644
Is Sole Proprietor?:No
Enumeration Date:2015-04-15
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 27295225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist