Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jordan Lewis Bugarske, PTA

Individual provider Physical Therapy Assistant · NPI 1316480981

Mr. Jordan Lewis Bugarske, PTA is a Physical Therapy Assistant in South Lake Tahoe, California. Works from 3 locations. Licensed in California and Nevada.

Licensed in
CA, NV
In the registry since
2016
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

2170 S Ave
South Lake Tahoe, CA 96150-7026
Phone: (530) 543-5896
Fax: (530) 544-6512
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 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 & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 9220 (CA)
Physical Therapy Assistant Taxonomy 225200000X · Licence A-0930 (NV)

Record details

NPI number1316480981
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 29, 2016
Last updated in NPPESMarch 17, 2018

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