Individual provider Active NPI

Jennifer Desilver, DPT, ATC

  • Physical Therapist
  • Apex, NC
National Provider Identifier
1023197373
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18078 Issued in NC
Practice address
120 Healthplex Way
Apex, NC 27502
Phone
(919) 350-0554
NPI assigned
Nov 6, 2006
Last updated
Aug 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
18078NCMDPharmacist
PT019257PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.