Active NPI
Jennifer Desilver, DPT, ATC
- Physical Therapist
- Apex, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18078
- Practice address
- 120 Healthplex Way
Apex, NC 27502 - Phone
- (919) 350-0554
- NPI assigned
- Nov 6, 2006
- Last updated
- Aug 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21867 | MD | |
| Physical Therapist | 225100000X | PT019257 | PA | |
| Physical Therapist | 225100000X | 18078 | NC | Primary |
Addresses
Primary practice location
120 Healthplex Way
Apex, NC 27502
Mailing address
2309 Falls River Ave
Raleigh, NC 27614-1109
Phone (443) 896-6834
Other practice location 1
700 W Lincoln Hwy
Exton, PA 19341-2547
Phone (610) 518-5845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18078 | NC | MD | Pharmacist |
| PT019257 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakemed Specialists Group, LLC | Current | Accepting new patients | |
| Professional Sportscare & Rehab Associates, LLC | Physical Therapist | Past | Accepting new patients |
Locations
400 US 70 Hwy E
Garner, NC 27529
Phone (919) 235-6400
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1588227839
-
- Physical Therapist
- College Park, MD
- NPI 1902911233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1023197373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2309 FALLS RIVER AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276141109",
"telephone_number": "443-896-6834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 HEALTHPLEX WAY",
"city": "APEX",
"state": "NC",
"postal_code": "27502",
"telephone_number": "919-350-0554"
}
],
"practiceLocations": [
{
"address_1": "700 W Lincoln Hwy",
"address_purpose": "LOCATION",
"city": "Exton",
"state": "PA",
"postal_code": "193412547",
"country_code": "US",
"telephone_number": "610-518-5845",
"fax_number": "610-518-5846",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESILVER",
"first_name": "JENNIFER",
"credential": "DPT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "21867",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT019257",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "18078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apex, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.