Active NPI
Jonathan Haimes, PT, DPT
- Physical Therapist
- Raleigh, NC
National Provider Identifier
1023483732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15895
- Practice address
- 8470 Falls of Neuse Rd
Suite 106
Raleigh, NC 27615-3500 - Phone
- (919) 803-0738
- NPI assigned
- Dec 7, 2015
- Last updated
- Dec 7, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15895 | NC | Primary |
Addresses
Primary practice location
8470 Falls of Neuse Rd
Suite 106
Raleigh, NC 27615-3500
Mailing address
8470 Falls of Neuse Rd
Suite 106
Raleigh, NC 27615-3500
Phone (919) 803-0738
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15895 | Other | NC PT LICENSE NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449446400000",
"number": "1023483732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8470 FALLS OF NEUSE RD",
"address_2": "SUITE 106",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153500",
"telephone_number": "919-803-0738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8470 FALLS OF NEUSE RD",
"address_2": "SUITE 106",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153500",
"telephone_number": "919-803-0738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIMES",
"first_name": "JONATHAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-07",
"last_updated": "2015-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "15895",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC PT LICENSE NUMBER",
"identifier": "15895",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.